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Article
July 1957

Herniated Lumbar Intervertebral DisksResults of Surgical Treatment Without the Routine Use of Spinal Fusion

Author Affiliations

Des Moines, Iowa
From the Department of Surgery, Veterans Administration Hospital.; Attending Neurosurgeon (Dr. Decker); Senior Resident, General Surgery (Dr. Shapiro), Veterans Administration Hospital.

AMA Arch Surg. 1957;75(1):77-84. doi:10.1001/archsurg.1957.01280130081014
Abstract

Introduction  Since the original report, in 1934, of Mixter and Barr,23 innumerable reports on the subject of herniated intervertebral disks have been recorded. At first glance, this condition would seem to offer few problems in diagnosis and management. Yet every series of cases contains a group of negative explorations and a group of poor results. It is apparent that differences of opinion regarding various phases of the management of patients suspected of having a herniated disk do exist. The purpose of this paper is to review some of these differences and to report our own experience with 347 explorations for lumbar disk herniation.

Review of Literature  In the presence of typical signs and symptoms, the diagnosis of a herniated lumbar intervertebral disk is not difficult. However, the accurate preoperative localization of the level of herniation has offered some problems, so that the methods used in localization have been a

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