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Low Back Pain

DR.maher ASSAF

   2007 / 2 / 20
悖 悖愕 悋惴惘
悖 悖愕 悋惴惘
                                 惶惡 忰悋 08%  悋惡愆惘 .      

   惷惺 惠愆悽惶 忰惆惆 惺惆 08%  悋惘悴悋  09%                

                                                     悋愕悋悄 .
                 惠惺悋 悋愕悋悄  悋 悋惴惘 悖惓惘  悋悵惘 .   

                              惠惠惷 悋愕惡悋惡 : - 愕悋惡 惘惷悸 .     

                   - 愕愀 悋惶 忰愀悸 .
               - 悋慍惆悋惆 惺惆惆 惘悋惠 悋忰 .
                       - 悴惆 悛悋惠 愕悋惡悸 .
-  惺悸 慍惆悋惆 悋慍 惡惴惘 悋 悋惴惘
                                                            .
悖 悖愕 悋惴惘

                         悋惠惆悽 .   -

                 忰 慍 惡惘 .      -

                   惺悋 愕悸 .     -
悖 悖愕 悋惴惘
        惡惆悖 惠愀惘 悋惘悋惠  悋愕惡惺 悋惓悋惓          

                                        悋忰 .
              惠惠愆 悋悋悸 悋惡悸  惡悋悋 悋忰惡    

                                       悋惴惘 .
             惠愆 悋惘惶 悋惘  :悋忰悸          

         悋愃惷惘悸 , 悋悋悸 悋惡悸 , 悋惶忰悸
                                      悋惠悋悧悸 .
        惠愕 悋愃惷惘 悋惶 惺 惘惘               

                                         悋慍 .
         悋惘惶 悋惶  惺悋悧  惠愃悵              

                                  惡悋愕惠愆惘悋惡 .
悖 悖愕 悋惴惘
          惠悽惠 悋惺悸 惡 悋 pedicle      

         悋惺悋惶惘 悋惺惶惡悸 惡忰愕惡 悋愀
                         悋惺惆 悋惘 .
           惠惷惺 悋惺惶惡 悋惘惡  悋       

                     pedicle悋悋悸 .
          惠惷惺 悋惺惶惡 悋愀 惠忰惠 悋        

                     pedicle悋悋悸 .
悖 悖愕 悋惴惘
                      愕 悋惘惶       

                 悋惘 愕惡悸 惘悸
                        悋惠 惠惺 .
                      惠惠惷惺 悋惺惆悸     

                 悋惴惘悸 悋忰愕悸 
                        惠悋愕 悋忰悋悸
                        悋悽悋惘悴悸 
                      . foramen
悖 悖愕 悋惴惘

                   惠惺惶惡 悋惘悋惠 : 惠愆悖      

                 悋惘惺 惡惺惆 悋惺惆悸 悋惴惘悸
                         惓惓悸 惘惺 :
                     惴惘 悴惡 惘 
                    惴惘 .  悋惘惺悋
                           悋悽惘悋 悋 .
Low back-pain
悖 悖愕 悋惴惘
       悋惠愕 悋愀惡惺 惺惆 悋惘 :
悖 悖愕 悋惴惘
悋  愆悖 悋惠悋惡

               悖  , 惴 悋惘惷  悋 ,
           惠惘悋 惺 惡愕悸 惶惡悋忰悸 . 惷 :
           1- 悋 愃惘 悋惠惘悋 惺 悛悸 愕忰悋悧悸 :
                       愆惘 悸 悽悋惘悴 惘悸 .
悖 悖愕 悋惴惘
悋  愆悖 悋惠悋惡
            2- 悋 悋愀悸 悋惠惘悋悸 惺 悖惺惘悋惷
                                   愕忰悋悧悸 :
           悖愆惺悋 悋惠悋惡 悋惘惶 悋惘 悋惠悋 .
悖 悖愕 悋惴惘
悋  愆悖 悋惠悋惡
悖 悖愕 悋惴惘
悋  愆悖 悋惠悋惡
悖 悖愕 悋惴惘
悋  愆悖 悋惠悋惡
           惆  惠惘悋 悋 惡惠惘惺 忰惘惘 悋 
                   悋惘悋 悋惡惆悧悸  悋惠悋悸 .
Low back-pain
悖 悖愕 悋惴惘
悋  愆悖 悋惠悋惡  悋
         愆惘 悴惆 忰惆惓悸 惘悸 悖 悋愕悋惘悧惆 悖 惆悋悄
                                            . Paget
悖 悖愕 悋惴惘
                     悋  愆悖 悋
                                        悋 悋悵 惶惡 愃悋惡悸 悋愆悽悋惶 .
                                                      愀悋 忰悋惆 慍 .
                                                        悋 悋惴惘 悋忰悋惆 :
    惡惆悖 惡惺惆 惘惺 慍 惓 悖 惡惺惆 忰惘悸 悽悋愀悧悸 . 悖 愆惆惆 慍惆悋惆 惡悋悴惆  悋愕惺悋 .
惠悴惆 惷惺悸 悽悸  . 悴惆 惠愆悴 惡悋惺惷惠 悋惘悸 惡悴愕 悋悋惠悧 悋愀悸
                                                                         .
                                                 悋惶惘悸 悋愆惺悋惺悸 愃惘 惆悸 .
                                                             愆 惡惺惆 悖愕惡惺 .
悖 悖愕 悋惴惘
悋  愆悖 悋
            悒悵悋 惠忰惘惷 惡愕惡惡 惘惷 愆惆惆 愆 :
                             - 惓 惡 悋惘悋惠 .
                 -悋惠慍 悋惺惷 悋悋 悋愀 .
             惺惠惡惘 惡惺惷 悋悗 悖 惠慍 悋惘惡悋愀
            悋愀 悋忰惘 愕悗 惺 忰悋
           04%  悖愕惡悋惡 悋 悋惴惘 惡惺惆
                                     悋惘惷 .
悖 悖愕 悋惴惘
悋  愆悖 悋
               悋 悋悵 忰惆惓 惡惺惆 惘惷 惶愃惘
              悽悋惶悸 惺惆 悋愕悋悄 悋悵 慍
           惡悋愕惠悋悄  惺惆 惡惺惆 忰 悋慍 :
                              1- 愕惘 悋惺悴慍 .
悖 悖愕 悋惴惘
悖 悖愕 悋惴惘
悋  愆悖 悋
                2- 愕惘 悋惘悋惠 惡愕惡惡 惠惘
             悋惺惴悋 : 愕悋悄 , 愃悋惡悋  悋惶
                           悋愀 悋惴惘 .
悖 悖愕 悋惴惘
悋  愆悖 悋
Low back-pain
悖 悖愕 悋惴惘
悋  愆悖 悋
                     悋 悋惴惘悸 悋慍悸 :
      惠惠忰 5%  悋 悋忰悋惆悸 悒 慍悸 .
                                悖 悋愕惡悋惡 :
            惠愕 悋悋惶 悋悴悸 悋悽悸 :
悖 悖愕 悋惴惘
悋  愆悖 悋
悖 悖愕 悋惴惘
悋  愆悖 悋
悖 悖愕 悋惴惘
悋  愆悖 悋
                    惠慍悸 : Baastrup
           悋惠愕 惡 悋愆悋 悋惘悸 .惠惠悴
              惺 慍悋惆悸 惡悋 . lordosis
悖 悖愕 悋惴惘
悋  愆悖 悋
悖 悖愕 悋惴惘
悋  愆悖 悋
悖 悖愕 悋惴惘
悋  愆悖 悋
                   惠慍悸 : Maigne
                       悒惶悋惡悸 21. d
悖 悖愕 悋惴惘
悋  愆悖 悋
悖 悖愕 悋惴惘
悋  愆悖 悋
悖 悖愕 悋惴惘
悋  愆悖 悋
悖 悖愕 悋惴惘
悋  愆悖 悋
                       : Spondylolisthesis
                 忰惆惓 惡悛惠 惠愕悸  悋忰悸 .
                         惠惘悋 惡悖惺惘悋惷 悴悵惘悸 .
                  悋 悋愀 悋慍  悋惺惘惷
                                   悋愕悋愕 .
           惠惘悋 惡悖惺惘悋惷 悴悵惘悸 惠悴悸 悋惷愃悋愀
             悋惡悋愆惘 悖 惠悴悸 悋惷愃悋愀 惡惺惆悸
                    悋忰 ) 惺惆悸 . ( Gill
悖 悖愕 悋惴惘
悋  愆悖 悋
悖 悖愕 悋惴惘
悋  愆悖 悋
                                        悋悴 :
                 愕惡惡 悖悋 愀悋 惺悋惆悸 悒 悒悵悋
                    惠惘悋 惡惺惆 惓惡悋惠悸 惆惘悋悸
               惠愕惠愀惡 悋悴惘悋忰悸 愕 惡悋悴
                                  悋悗 悴惆 .
                                    悋
悖 悖愕 悋惴惘
悋  愆悖 悋
悖 悖愕 悋惴惘
悋  愆悖 悋
                     忰惆悋惡 : Scheuermann
           悋 惡悛悸 悋惷愃悋愀悸 , 惠惠悽惘惡 悋悋惶
               惡 悋悴悋惠 . 惡 悋忰悋悄
               悋惺 惺惆 悋愀  惡惆悖 悋
                     lordosis惡愕惠 3. L
悖 悖愕 悋惴惘
悋  愆悖 悋
悖 悖愕 悋惴惘
悋  愆悖 悋
                          惺惆 悋惓惡悋惠悸 悋愀悸 :
             忰惘悸 惺 悋惶惘悸 悋惆悋悸 < 4
                          悋惺悴 忰悋惴 .
悖 悖愕 悋惴惘
悋  愆悖 悋
                        惆悋悄 : Forestier
悖 悖愕 悋惴惘
悋  愆悖 悋
悖 悖愕 悋惴惘
悋  愆悖 悋
                                    悋惺悴 :    

                  1  悋惺悴 悋惆悋悧 : - . NSAIDS
- 悋惡悋惘悋愕惠悋  悋惠惘悋悋悴 .
         - 悋惘悽悋惠 悋惺惷悸 .
          - 惷悋惆悋惠 悋惠悧悋惡 .
悖 悖愕 悋惴惘
悋  愆悖 悋
          2- 悋忰 : - 惷 悋悋惶 悋悴悸 .
                     -  悋悴悋悸 .
悖 悖愕 悋惴惘
悋  愆悖 悋
             - 悋忰 惷 悋惘惶 悋惶 .
悖 悖愕 悋惴惘
                           3- 悋惘悋忰悸 .
             4- 悋惠惓惡惠 惡悋愕愀悸 悋忰慍悋 .
悖 悖愕 悋惴惘

                 5- 悋惠悋惘 悋惠惆 .
                  6- 悋惺悴 悋悴惘悋忰 :
Low back-pain
悖 悖愕 悋惴惘
悋  愆悖 悋
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
                         悖愆惺 悖愕惡悋惡 悋 悋惴惘 .    

  悋悋 悋忰愕悸 悖惓惘 惺惘惷悸 惶悋惡悸  悋忰惘悸 .        

    悖惓惘 悋 惠悖惓惘 惡悋惷愃愀  悋惺惆 悋忰愕悸 悋惴惘悸 .   

                         忰惆惓 悋惷愃愀 悋忰悋惆 悖 .
                          悋                          

          悖惓惘 悋 惠惷惺 悋惠  5. L4 L
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
                        悒惶悋惡悸 5: L
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
                        悒惶悋惡悸 1: S
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
              悋惺悋 悋惠 惠慍惆 惠悽 悋 :
             1- 慍惆悋惆 惡悋愕惺悋 悋惺愀愕 悋惠愃愀
                 2- 悽 惡悋惷愀悴悋惺  悽悋惶悸
                       悋惷愀悴悋惺 悋悴悋惡 .
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸

             悋悽惠惡悋惘 . Lasegue
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
                                   : XR 
                 慍悋 悋  lordosis 悋惺惆
                                 悋愀 .
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
                            : XR 
            TRANSITIONAL VERTEBRA
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
                                   : XR 
                悴惆 愃悋慍  悋惘惶 悋惘 .
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
                        : Myeologram
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
                        : MRI
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
Low back-pain
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
                        悋愆悋 悋悽悋惶悸 :
              1- 悋 悋惺惶惡 悋愆惆惆 悴惆 .
                悋
                  2- 惠慍悸 悵 悋惘愕 .
                               3- 悋愆 .
悖 悖愕 悋惴惘
  悋  愆悖 悋
惠 悋悋悸 悋惡悸 惺惆 悋愀悋
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
                        悒惶悋惡悸 3L
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
Low back-pain
悖 悖愕 悋惴惘
悋  愆悖 悋
    惠 悋悋悸 悋惡悸
                            悋惺悴 :
    - 悋忰 悋悋悧 惘惶 悋愃惷惘 .
                 - 悋惺悴 悋悴惘悋忰 .
悖 悖愕 悋惴惘
悋  愆悖 悋
悋悸 悋忰悋惷惘悸

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