The benefit of surgical treatment for some diseases affecting the lumbar spine is not controversial in many clinical circumstances, such as major trauma with gross instability, unstable spondylolisthesis, persistent or complicated spinal infections, and some spinal tumors with progressive neurologic loss. More commonly a patient may contemplate surgical treatment for complications of common degenerative conditions affecting the lumbar disk. In general, 2 clinical syndromes are associated with these degenerative conditions, and the clinical course and efficacy of interventions for each is very different. The first is primary back pain with little or no component of radicular symptoms due to nerve root irritation. The second is primary radicular pain, which usually has some component of back pain.
Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more
Subscribe for full-text access to content from 1998 forward and a host of useful features
Activate your current subscription (AMA members and current subscribers)
Purchase Online Access to this article for 24 hours
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 18
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
and access these and other features:
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.