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ankylosis back beriberi bone chiropractic chronic decadent decompression decrepit degenerate degenerative depression diagnosis disc disease disk diskectomy disorders fixing fusion graft herniation inflammation instability joint laminectomy limited loss low lumbar medical medication motion nerve numbness operation orthopedic pain patients postoperative problems root sergeant sleep spinal spine spondylolisthesis surgery symptoms synostosis tens treatment vertebral weakness weight xray