The patient history of conditions in the thoracolumbar spine is similar to the cervical spine. A complete description of the onset, duration, nature, severity of symptoms, and aggravating and relieving factors should be obtained. Other important history includes medical history (including previous injuries) and psychosocial stressors at work or home. Symptoms may require urgent referral and workup and include unremitting back pain, urinary or bowel paralysis, weakness, fever, and weight loss.
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