下腰痛小关节突源性腰痛的发病机制,诊断和治疗..docVIP

Pathogenesis, Diagnosis, and Treatment of Lumbar Zygapophysial (Facet) Joint PainSteven P. Cohen, M.D.,* Srinivasa N. Raja, M.D.?腰椎关节突关节（小关节）源性腰痛的发病机制，诊断和治疗This article has been selected for the Anesthesiology CME Program. After reading the article, go to /journal-cme to take the test and apply for Category 1 credit. Complete instructions may be found in the CME section at the back of this issue.Lumbar zygapophysial joint arthropathy is a challenging condition affecting up to 15% of patients with chronic low backpain. The onset of lumbar facet joint pain is usually insidious,with predispo