Secretary Back Syndrome, the title appropriate and descriptive, the concept original and useful, describes an intermittent, recurrent, symmetrical low-back pain induced by swivel-chair exposure. The swivel chair, by its very mechanical nature, frequently invites poor posture, causing a symmetrical, recurrent, lumbo-sacral strain. Swivel-chair exposure, transiency and recurrence of low-back pain, i.e. weekend and vacation recovery, physical finding of symmetrical low-back tenderness and spasm, and relatively unremarkable X-ray findings, all serve to support the above stated syndrome. The treatment requires abstinence of swivel-chair exposure, an obvious, to-date, hidden occupational hazard, and a switch to the time-honored stationary chair in order to affect a total and permanent recovery. Secretary Back Syndrome is a valuable diagnostic concept if appropriately suspected and included in the differential diagnosis and treatment of low-back pain.
秘书背综合征，这个名称恰当且具有描述性，概念新颖且实用，它描述的是因使用转椅而引发的间歇性、复发性、对称性下背部疼痛。转椅因其机械特性，常常导致不良姿势，引发对称性、复发性腰骶部劳损。接触转椅、下背部疼痛的短暂性和复发性（即周末和假期恢复）、对称性下背部压痛和痉挛的体格检查结果以及相对无异常的X线检查结果，均有助于支持上述综合征。治疗方法是避免接触转椅，这是一种迄今为止明显被忽视的职业危害，转而使用历史悠久的固定座椅，以实现完全且永久的康复。如果能恰当地怀疑并将秘书背综合征纳入下背部疼痛的鉴别诊断和治疗中，它就是一个有价值的诊断概念。
