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June 27, 1953

Lumbar Disc Lesions: Pathogenesis and Treatment of Low Back Pain and Sciatica.

JAMA. 1953;152(9):878. doi:10.1001/jama.1953.03690090102039

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This is one of the outstanding contributions to the literature on the intervertebral disk. The author briefly and concisely presents the causes of radiating low back pain and discusses the fundamental basis for each symptom and sign. The clinical picture is crystallized for the reader in the inimitable style of the accomplished British writer and is illustrated beautifully with colored and black and white figures. The author draws on his large experience in the diagnosis and treatment of ruptured disks to discuss the most successful techniques of diagnosis and surgical treatment. His opinions are conservative and highly acceptable; however, the danger of diagnostic spinal puncture and myelogram is overemphasized. The dangers described do not coincide with the experience of others in large series of cases. Furthermore, not all will agree with Armstrong that surgical fusion after removal of a ruptured disk is the procedure of choice. The general opinion is

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