ISSLS Prize winner: The anatomy of failure in lumbar disc herniation: an in vivo, multimodal, prospective study of 181 subjects.
Conventional wisdom states that the mode of failure and cause of disc herniation is secondary to a rupture of nucleus material through the annulus fibrosis. In this paper, the senior author prospectively defined the nature of intraoperatively identified disc herniations in 181 consecutive patients qualified for inclusion. Inclusion criteria included requiring a single level lumbar […]
This classic paper published by Dr. Gordon Waddell in 1987 has been cited over 1577 times. The paper is not a study, but rather a comprehensive review of the literature from the 1970’s and 1980’s looking at the trend of increasing rates of disability associated with low back pain. Dr. Waddell used this information to […]