Cloward R B
Clin Orthop Relat Res. 1985 Mar(193):16-9.
Based on over 45 years' experience in the surgical treatment of lumbar disc disease, it is recommended that the following operations be eliminated: the simple discectomy, which may cure the sciatica but not the back pain; the "decompressive laminectomy," which leaves the patient with painful instability and nerve-root scarring; and chemonucleolysis, which does not provide permanent relief of either low-back or leg pain. The PLIF technique is the answer to treatment of diseases of the lumbar spine and may be the operation of the future.
基于在腰椎间盘疾病外科治疗方面超过45年的经验，建议摒弃以下手术：单纯椎间盘切除术，它可能治愈坐骨神经痛但无法缓解背痛；“减压性椎板切除术”，会使患者遗留疼痛性不稳定和神经根瘢痕形成；以及化学髓核溶解术，它无法永久缓解腰背痛或腿痛。经椎间孔腰椎椎体间融合术（PLIF）技术是治疗腰椎疾病的答案，且可能是未来的手术方式。
