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March 1949

PROGRESS IN ORTHOPEDIC SURGERY FOR 1946 A Review Prepared by an Editorial Board of the American Academy of Orthopaedic Surgeons: XI. CONDITIONS INVOLVING THE LOWER PART OF THE BACK

Author Affiliations


Arch Surg. 1949;58(3):352-372. doi:10.1001/archsurg.1949.01240030358011

Introduction.  —In 1947 a discussion of ruptured intervertebral disks and sciatic pain was prefaced by Barr414 with the following introduction: "As students of the defects and diseases of the human frame, we are daily reminded that the truth is hard to come by, and that our knowledge of any medical subject is incomplete, defective, and capable of continually being increased." I know of no statement which might be applied more pertinently to the 1946 literature on conditions involving the lower part of the back. Although these writings were voluminous, few original concepts or technics were introduced and little unanimity concerning pathogenesis or treatment was apparent. Accordingly, and for the sake of brevity, many articles have simply been cited in this review, while most of the more significant contributions have been briefly abstracted. References to several foreign articles published prior to 1946 but not previously available for abstracting have been

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