Bogduk N
Faculty of Medicine and Health Sciences, University of Newcastle, Australia.
J Manipulative Physiol Ther. 1995 Nov-Dec;18(9):603-5.
Leading contenders for the anatomical basis of spinal pain are the discs, zygapophyseal joints and spinal muscles. There are no scientific data, however, that sustain the belief that muscles may be a source of chronic pain. On the other hand, controlled studies have shown how common discogenic pain and zygapophyseal joint pain are. Cervical zygapophyseal joint pain accounts for for more than 50% of chronic neck pain after whiplash. Collectively, lumbar zygapophyseal joint pain, internal disk disruption and sacroiliac joint pain account for nearly 70% of chronic low back pain.
脊柱疼痛解剖学基础的主要候选部位是椎间盘、关节突关节和脊柱肌肉。然而，没有科学数据支持肌肉可能是慢性疼痛来源的观点。另一方面，对照研究表明盘源性疼痛和关节突关节疼痛是多么常见。颈椎关节突关节疼痛在挥鞭样损伤后导致的慢性颈部疼痛中占比超过50%。总体而言，腰椎关节突关节疼痛、椎间盘内部破裂和骶髂关节疼痛在慢性下腰痛中占近70%。
