Robinson J S
South Med J. 1983 Feb;76(2):232-8. doi: 10.1097/00007611-198302000-00022.
The dynamics of the human spine mark the lumbar disk syndrome and accompanying sciatic complaints as long-standing afflictions of our species. Although Greco-Roman erudition suitably described the ailment, uneven diagnostic and therapeutic acumen confused inquiry for many centuries. Only with the 19th Century advent of improved clinical facilities, pathologic correlation, and active surgical exploration did real insight commence. Not, however, until the 1934 landmark publication of Mixter and Barr was the herniated lumbar disk indicated as a major cause of sciatica. Despite such advances, numerous unresolved issues still surround this disease.
人类脊柱的动态变化表明腰椎间盘综合征及伴随的坐骨神经痛是人类长期存在的疾病。尽管古希腊罗马的学者对这种疾病有恰当的描述,但几个世纪以来,参差不齐的诊断和治疗洞察力使相关研究一直处于混乱状态。直到19世纪,随着临床设施的改善、病理相关性研究以及积极的外科探索的出现,才开始有了真正的认识。然而,直到1934年米克斯特和巴尔具有里程碑意义的出版物问世,腰椎间盘突出才被认定为坐骨神经痛的主要原因。尽管有这些进展,但围绕这种疾病仍存在许多未解决的问题。