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首页> 外文期刊>BMJ: British medical journal >The case for spinal fusion is unproved
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The case for spinal fusion is unproved

机译:脊柱融合术是未经证实的

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摘要

Back pain affects about 80% of the population at some time in their life, and it is generally agreed that most people are best treated conservatively. Most episodes of acute back pain will settle either spontaneously or with treatment, but in a few people the pain does not resolve and they may be considered for spinal fusion. Spinal fusion was originally developed for the treatment of tuberculosis, poliomyelitis, and scoliosis. Because it seemed successful for treating back pain arising from these conditions, it was assumed that any mechanical back pain could be successfully treated with spinal fusion. More than 20000 lumbar spinal fusions are performed annually in the United States, and there is a direct relation between the number of spinal operations performed in any one area and the number of orthopaedic and neurosurgeons. About eight times as many spinal surgical procedures are carried out in the United States per capita as in Britain.
机译:背部疼痛影响了约80%的人口在其人生的某个阶段,一般认为大多数人是最好的治疗保守。自发或定居吗治疗,但在少数人不疼痛决心和他们可能考虑脊髓融合。治疗肺结核、小儿麻痹症、和脊柱侧凸。治疗背部疼痛引起的这些条件,假设任何机械背部疼痛可成功治疗脊柱融合术。超过20000个腰椎融合在美国,每年执行,的数量有直接关系在任何一个领域和脊髓操作骨科和神经外科医生的数量。大约8倍脊柱外科程序在美国进行人均是在英国。

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