Nowakowski Andrzej, Kubaszewski Lukasz, Kaczmarczyk Jacek
'Klinika Chirurgii Kregosłupa, Ortopedii Onkologicznej i Traumatologii, Uniwersytet Medyczny im. Karola Marcinkowskiego w Poznaniu.
Chir Narzadow Ruchu Ortop Pol. 2007 Mar-Apr;72(2):95-7.
Back pain is common (80-90% population), conservative treatment is usually successful. Lumbar disc herniation and sciatica are fairly common but are far less frequent than is idiopathic low back pain. Sciatica is usually due to lumbar disc herniation; the outcome is usually favorable. Surgery for lumbar disc herniation and sciatica is indicated if acute bladder and bowel impairment is present (cauda equine syndrome) or if sciatic pain is incapacitating and persistent for more than 6 to 12 weeks. Confirmation of the clinical level of disc herniation must be made by imaging (CT or MRI). With proper patient selection, surgery for lumbar disc herniation and sciatica can be expected to lead to excellent results in the majority of patients.
背痛很常见（80 - 90%的人群），保守治疗通常会成功。腰椎间盘突出症和坐骨神经痛相当常见，但远比特发性腰痛少见。坐骨神经痛通常由腰椎间盘突出症引起；其预后通常良好。如果出现急性膀胱和肠道功能障碍（马尾综合征），或者坐骨神经痛使人丧失能力且持续超过6至12周，则需对腰椎间盘突出症和坐骨神经痛进行手术治疗。必须通过影像学检查（CT或MRI）来确认椎间盘突出的临床节段。通过适当选择患者，预计腰椎间盘突出症和坐骨神经痛的手术在大多数患者中能取得优异的效果。
