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March 1946

PROGRESS IN ORTHOPEDIC SURGERY FOR 1944 A Review Prepared by an Editorial Board of the American Academy of Orthopaedic Surgeons: XX. Conditions Involving the Lower Port of the Back

Author Affiliations


Arch Surg. 1946;52(3):342-360. doi:10.1001/archsurg.1946.01230050347008

THE year 1944 has seen no spectacular advances toward solution of the many problems of pain in the lower part of the back and sciatic pain. The considerable volume of literature on this subject demonstrates widespread interest; a gradual evolution of certain trends of orthopedic thought becomes apparent. There is a healthy tendency to emphasize the basic lesion rather than the symptom of sciatica. Most writing and most controversy still center about the syndrome of the ruptured intervertebral disk and its treatment. Studies of the end results of operations on disks are beginning to appear and should be most helpful; these first statistical reports are not too encouraging. The role of bony changes, such as facet irregularities and isthmus defects, is receiving increased recognition.

Because of the volume of this literature, only the more outstanding articles are reviewed here. For the sake of completeness, however, others are mentioned in proper