Optimization of the surgical results on low back pain requires changing the factors that led to the patient's surgical disorder. The factors are poor posture, improper body mechanics, weakness, abusive activities, and general lack of understanding of back health care. Education and exercise will change all of these factors and help prevent the epidemic of failed multioperated patients with back problems. On surgery one should consider the natural history of lumbar spinal degeneration, anticipate failure, and do it right the first time.
优化下背痛的手术效果需要改变导致患者手术疾病的因素。这些因素包括姿势不良、身体力学不当、虚弱、过度活动以及对背部保健普遍缺乏了解。教育和锻炼将改变所有这些因素，并有助于预防背部问题多次手术失败患者的流行。在进行手术时，应考虑腰椎退变的自然病史，预测失败情况，并一次性做好手术。
