摘要: Disorders of the spine producing low back pain (LBP) are endemic in industrialized societies. The symptoms stem from many different diseases, and although associate complaint with herniation a lumbar or lumbosacral disk, identifiable disorders disk account for minority cases. Table 23.1 lists some diagnoses associated pain. annual incidence is 5% United States, lifetime reported prevalence ranges 60% to 90%.1–8 It most frequent cause morbidity that limits activity persons less than 45 years old,9–11 second recorded by physicians ambulatory visits, men 25 64 women 35 64, complaint.12 Rates higher men, this correlates differences physical demands jobs performed compared women. decline work-related age both sexes can be explained “healthy worker” effect, wherein those at greatest risk steadily drop out work force. Also, as workers gain seniority, they move into physically demanding.