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The lumbar spine an orthopedic challenge


, : The lumbar spine an orthopedic challenge. Spine 1(1): 59-71

The low-back pain problem represents a great challenge to orthopedic surgeons around the world. Although in most instances a rather undramatic problem, low-back pain is in patients aged 30-60 yr the most expensive ailment from a socioeconomic viewpoint. The intervertebral disc is most likely the cause of the pain, but at present the etiology is unknown, and hence, for the majority of patients, only symptomatic treatment is available So far no convincing evidence exists that any type of conservative treatment for the patient with low-back pain is superior to nature's own course. The paramount importance of a correct preoperative diagnosis for those with sciatica due to disc herniation is reiterated. For 98% of patients the present knowledge of the psychologic, social and mechanical stress factors, should be utilized for proper counseling, together with attempts at correction with any type of noninvasive modality according to preference of the individual physician.

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