Low back pain

Optimization of the surgical results on low back pain requires changing the factors that led to the patient's surgical disorder. The factors are poor posture, improper body mechanics, weakness, abusive activities, and general lack of understanding of back health care. Education and exercise will change all of these factors and help prevent the epidemic of failed multioperated patients with back problems. On surgery one should consider the natural history of lumbar spinal degeneration, anticipate failure, and do it right the first time.