根据腰椎小关节与脊神经后支分布的临床解剖学关系自１９８４～１９９２年对１０４６例腰椎小关节损伤病人进行临床、Ｘ线片、ＣＴ等观察发现多数为旋转暴力引起。损伤部位和暴利大小不同所致疼痛部位和程度不等，疼痛及放散痛部位与脊神经后支分布有关。患者主诉疼痛部位和压痛点不一致是本症特点。小关节移位导致小关节的前、外、后分布神经的机械性压迫和牵拉是放散痛的主要原因。应用推拿旋转手法见效快，治愈率高。 According to the clinical anatomy of lumbar facet joint and posterior branch of spinal nerves, 1046 cases of lumbar facet joint injury were performed clinical, X-ray and CT findings from 1984 to 1992. Most of them were caused by rotational violence. Injury sites and profits caused by different sizes and extent of pain in different parts of the site of pain and spread pain associated with the dorsal rachis distribution. Patients complained of pain and tenderness point is inconsistent with the characteristics of this disease. Small joints shift leading to the facet joint, external and internal distribution of mechanical nerve compression and stretch is the main reason for the pain. Apply massage rotation quick, high cure rate.