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July 1947

PROGRESS IN ORTHOPEDIC SURGERY FOR 1945 A Review Prepared by an Editorial Board of the American Academy of Orthopaedic Surgeons: XXI. CONDITIONS INVOLVING THE LOWER PART OF THE BACK

Author Affiliations


Arch Surg. 1947;55(1):87-100. doi:10.1001/archsurg.1947.01230080090008

THEsiderable number of useful articles on the subject of pain in the lower part of the back and sciatic pain. Intervertebral disk syndromes occupy the predominant place in this literature. The importance of rupture of the intervertebral disk in causing sciatica is firmly established; indeed chief controversy now centers about the question whether almost all sciatica may not be the result of protrusion of the disk. Increased attention is being devoted both to early traumatic lesions of the disk and to degenerative changes secondary to aging and to chronic minor trauma. Concerning detailed diagnostic and therapeutic indications there is as yet little unanimity.

In this review the policy of abstracting the more outstanding articles and of calling attention to the remainder of the year's literature has again been followed.

Pain in the Lower Part of the Back.  —An interesting development is the tendency in many quarters to regard early or