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1、DoYouReallyNeedBackSurgery?:ASurgeonsGuidetoNeckandBackPainandHowtoChooseYourTreatmentAaronG.Filler,MD,PhD,FRCS(SN)OXFORDUNIVERSITYPRESSDoYouReallyNeedBackSurgery?ThispageintentionallyleftblankDoYouReallyNeedBackSurgery?ASurgeon’sGuidetoNeckandBackPainandHowtoChoo
2、seYourTreatmentAaronG.Filler,MD,PhD,FRCS(SN)320043OxfordNewYorkAucklandBangkokBuenosAiresCapeTownChennaiDaresSalaamDelhiHongKongIstanbulKarachiKolkataKualaLumpurMadridMelbourneMexicoCityMumbaiNairobiSaõPauloShanghaiTaipeiTokyoTorontoCopyright©2004byOxfordUniversit
3、yPress,Inc.PublishedbyOxfordUniversityPress,Inc.198MadisonAvenue,NewYork,NewYork10016www.oup.comOxfordisaregisteredtrademarkofOxfordUniversityPressAllrightsreserved.Nopartofthispublicationmaybereproduced,storedinaretrievalsystem,ortransmitted,inanyformorbyanymeans
4、,electronic,mechanical,photocopying,recording,orotherwise,withoutthepriorpermissionofOxfordUniversityPress.LibraryofCongressCataloging-in-PublicationDataFiller,AaronG.,1956–Doyoureallyneedbacksurgery?:asurgeon’sguidetobackandneckpainandhowtochooseyourtreatment/Aar
5、onG.Filler.p.cm.ISBN0-19-515835-01.Spine—Diseases—Treatment.2.Spine—Woundsandinjuries—Treatment.3.Neck—Disease—Treatment.4.Patienteducation.I.Title.RD768.F542004617.5'6059--dc222004007339987654321PrintedintheUnitedStatesofAmericaonacid-freepaperToLise,Rachel,andWy
6、attThispageintentionallyleftblank»Contents«ForewordJ.PatrickJohnson,MDixPrefacexiDisclaimerxivHowtoUseThisBook:TwoDozenVisitstoYourDoctor1PartI:SpineHealth1Acute,Chronic,andRecurring:AQuickTourofNeckandBackPain72TheNatureofPainandHowItIsTreated233KeepingtheSpineHe
7、althy:ErgonomicsforLife414RenewalwithoutSurgery:SchoolsofTherapy515Anatomy101:FromBones,Disks,andJointstoMind,Muscles,andNerves636Disks,Spurs,Stenosis,Slippage,andOsteoporosis817SpinalSymptoms:WhereDoesThatPainComeFrom?958AccidentsoftheEmbryo:SpinaBifidaandVariati
8、onsatBirth1059MedicalImagingandDiagnosticTests:X-rays,Electrons,andMagneticSpin11910RecoveryandRepairintheNervesandSpinalCord139PartII:SpineSurgery11Wit