Fischgrund J S, Montgomery D M
Department of Orthopaedic Surgery, William Beaumont Hospital, Royal Oak, Michigan.
Orthop Rev. 1993 Mar;22(3):311-8.
Low back pain (LBP) is very prevalent in the general population. Treatment of nonradicular back pain, in the absence of deformity, continues to be controversial. Recently, anatomic dissections, magnetic resonance imaging studies, and the use of provocative discograms (pain-related response during the injection similar to the typical pattern of pain reported prior to the procedure) have contributed to our understanding of the etiology of discogenic back pain. Various techniques of spine fusion, with and without instrumentation, have altered the natural history of LBP unresponsive to conservative treatment. This review discusses the etiology and diagnosis of discogenic back pain and the treatment options available to the spine surgeon.
下腰痛（LBP）在普通人群中非常普遍。在无畸形的情况下，非根性背痛的治疗仍然存在争议。最近，解剖学解剖、磁共振成像研究以及激发性椎间盘造影（注射过程中与术前报告的典型疼痛模式相似的疼痛相关反应）有助于我们理解椎间盘源性背痛的病因。各种脊柱融合技术，无论有无内固定，都改变了对保守治疗无反应的下腰痛的自然病程。本文综述了椎间盘源性背痛的病因、诊断以及脊柱外科医生可用的治疗选择。
