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Journal of Bone and Joint Surgery, 1941;23:461-470.
© 1941 by The Journal of Bone and Joint Surgery, Inc

LOW BACKACHE AND SCIATIC PAIN ASSOCIATED WITH SPONDYLOLISTHESIS AND PROTRUDED INTERVERTEBRAL DISC: INCIDENCE, SIGNIFICANCE, AND TREATMENT

HENRY W. MEYERDING M.D.1

1 Section on Orthopaedic Surgery, The Mayo Clinic

In the past two years the author has been impressed by the number of cases in which the patient had spondylolisthesis associated with sciatic pain and protrusion of an intervertebral disc. Protrusion of an intervertebral disc was diagnosed in fifteen of the twenty-five cases in which spondylolisthesis was associated with sciatica, and the diagnosis was confirmed in six cases in which operation was performed.

The treatment which offers the greatest benefit in the shortest period of disability and longest period of relief is surgical removal of the protruded disc and fusion of the last three lumbar vertebrae with the sacrum.

Cooperation of the roentgenologist, neurologist, and orthopaedic surgeon is essential in determining the exact situation of the lesion involved in the production of the backache, sciatic pain, and spondylolisthesis. Such cooperation has made it possible to diagnose the condition accurately and to give relief to the group of patients whose ailment heretofore has baffled the diagnostic efforts of even the most skilled surgeons.


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