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Journal of Bone and Joint Surgery, 1949;31:614-618.
© 1949 by The Journal of Bone and Joint Surgery, Inc

THE DISC SYNDROME

Results of The Conservative Care of Patients with Positive Myelograms

Paul C. Colonna M.D.1 and Zachary B. Friedenberg M.D.1

1 Department of Orthopaedic Surgery, Hospital of the University of Pennsylvania, Philadelphia

1. Twenty-eight patients with the clinical diagnosis of displaced lumbar intervertebral disc, supported by oil myelography, were treated non-operatively and followed.

2. Twenty-nine per cent. remained pain-free for periods longer than a year; 39 per cent. suffered insufficient residual pain to cause disability; 32 per cent. were disabled by recurring attacks or constant pain.

3. The results in this series compare unfavorably with the results obtained in a carefully selected operative series.

4. The chronicity of this disease must be fully appreciated; most of these patients had suffered five years or more. There can be little justification for letting the disease run its course.

5. No evidence has been found by which the course of the condition may be forecast.


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