Lumbar Spine Syndromes Evaluation and Treatment
The question facing anyone contemplating a book on low back pain is : Why write another book? It is certainly true that there are many books on this topic addressing a wide variety of audiences. Some books are all inclusive and scholarly in nature, others
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Lumbar Spine Syndromes
Evaluation and Treatment
Springer-Verlag Wien New York
Gunnar B. J. Andersson, M.D., Ph.D. Thomas W. McNeill, M.D. Department of Orthopedic Surgery Rush-Presbyterian-St. Luke's Medical Hospital Chicago, Illinois, U.S.A.
This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations. broadcasting, reproduction by photocopying machine or similar means, and storage in data banks. © 1989 by Springer-Verlag/Wien Softcover reprint of the hardcover 1st edition 1989 Product Liability: The publisher can give no guarantee for information about drug dosage and application thereof contained in this book. In every individual case the respective user must check its accuracy by consulting other pharmaceutical literature.
With 108 Figures
Library of Congress Cataloging-in-Publication Data: Andersson, Gunnar, 1942-; Lumbar spine syndromes: evaluation and treatment / Gunnar B.J. Andersson and Thomas W. McNeill. VII, 215 p. 16.3 x 24.3 cm. Includes bibliographies and index. rSBN-13: 978-3-7091-8983-2 1. Backache. I. McNeill, Thomas W., 1936-. II. Title. [DNLM: 1. Backache--diagnosis. 2. Backache-therapy. WE 755 A552L] RD771.B217A53 1988; 617'. 56--dc 19; crp 88-24942
ISBN-13: 978-3-7091-8983-2 e-ISBN-13: 978-3-7091-8981-8 DOl: 10.1007/978-3-7091-8981-8
Preface
The question facing anyone contemplating a book on low back pain is : Why write another book? It is certainly true that there are many books on this topic addressing a wide variety of audiences. Some books are all inclusive and scholarly in nature, others are personal descriptions of diagnostic and treatment philosophies. This book is a combination of these two extremes. It represents our views on the low back problem, supported by scientific data. Most aspects on back pain presented in this book can be found in other texts. The organization of the material is unique, however. Our approach is to start by listening to and looking at the patient. It becomes apparent, then, that patients can be classified into one of the syndromes described in chapters 4 through 13. We believe that this syndrome classification, which is quite simple to make clinically, will allow you to diagnose and treat your patients more effectively. To set the stage for the syndrome chapters the first three chapters of the book are generic to the remaining chapters. They reviewe the epidemiology, pathology, biomechanics, etiologic theory, diagnostic methods, and treatment modalities applicable to the low back syndromes. They should be read before the syndrome chapters. At the end of the book you will find four chapters that are specific to disease entities. They were included to allow a separate discussion of this small, but important, group of diseases with symptoms and signs common to the lumbar spinal syndromes, but with specific diagnostic requirements, treatment and prognosis. This book is not intended for the super specialist. Rather, it should be h
