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[Factors determining the results of surgical treatment of backache syndromes in the lumbar spine].

The therapeutic results were analysed in a group of 509 patients operated on for low back pain syndromes (after previous establishing of indications based on clinical examination and radiological investigations) with over 6 months of follow-up. The therapeutic results were compared with the observed symptoms and signs, neurological findings, age, duration of acute phase of the disease, surgical approach used, changes found during the operation, stability of the spine and type of its surgical immobilization. The therapeutic result depended mainly on the degree of neurological abnormalities before the operation, duration of the acute phase and operative findings as well as spinal stability. The operative approach and stabilization type, although influencing the result, were a consequence of the above factors.

Acute Disease↗

[Backache].

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Back Pain↗

Backache.

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Back Pain↗

Psychosomatic backache.

It is contended in this report that the majority of pain syndromes involving the neck, shoulders, and low back are the result of a benign, reversible process in the musculature which is psychosomatic in nature and which has been called tension myositis. The natural history of the disorder, findings on physical examination, and diagnostic studies are briefly described. The theoretical basis for the conclusion that it is psychosomatic is discussed, the therapeutic program is described, and long-term results with a group of treated patients are presented. The results suggest that a program of physician counseling and physical therapy is generally successful. The author believes that the psychosomatic nature of the disorder places it within the purview of the behaviorally oriented specialty of family practice.

Adolescent↗