相关实验视频

Updated: Jun 11, 2025

Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation

Treating Low Back Pain in Failed Back Surgery Patients with Multicolumn-lead Spinal Cord Stimulation

Published on: June 26, 2018

基础脊椎神经切除用于治疗腰部疼痛

Esther Lee¹, Joaane Kim¹, Sadiq Rahman¹

¹Department of Anesthesiology, Stony Brook University Hospital, Stony Brook, NY 11794, USA.

|September 28, 2024

概括

脊椎性背痛 (VBP) 是慢性下背痛 (LBP) 的原因,与Modic变化 (MC) 有关,可以通过基脊神经 (BVN) 切除有效治疗. 这种程序可以减少疼痛,并改善患者的功能.

科学领域:

整形外科整形外科整形外科
疼痛医学医学疼痛医学
放射学放射学是一门学科.

背景情况:

腰部疼痛 (LBP) 是全球导致残疾的主要原因,影响数百万人,并产生大量医疗保健费用.
脊椎性背痛 (VBP) 是一种特定的LBP亚型,与脊椎末板的Modic变化 (MC) 相关,通常通过MRI可视化.
基础脊椎神经 (BVN) 参与了VBP的疼痛信号.

研究的目的:

探索VBP的病理生理学和诊断方法.
审查目前关于VBP及其管理的研究.
评估基础脊椎神经 (BVN) 切除对VBP的治疗作用.

主要方法:

对VBP,Modic变化 (MC) 和基础脊椎神经 (BVN) 切除的研究的文献综述.
随机对照试验 (RCT) 和研究BVN切除疗效的元分析的分析.
综合有关减轻疼痛和功能改善的数据.

主要成果:

在管理与MC相关的慢性LBP方面,BVN切除已经显示出显著的有效性.
研究一致表明,在接受BVN切除的患者中,疼痛减轻和改善身体功能.
随机试验和元分析支持BVN切除作为VBP的可行的治疗选择.

结论:

基础脊椎神经 (BVN) 切除是一种有效的治疗慢性腰部疼痛 (LBP) 源于脊椎病因与Modic变化 (MC).
该程序提供了有针对性的治疗方法,改善了患者的治疗结果和生活质量.
对于这种普遍的疾病,需要进一步研究和临床应用BVN切除方法.

关键词:

模态变化模态变化基础脊椎剥离基脊椎剥离慢性疼痛是一种慢性疼痛.腰部疼痛腰部疼痛腰部疼痛腰部疼痛疼痛管理疼痛管理

更多相关视频

Author Spotlight: Unveiling the Potential of TUBE Technique in Spinal Surgery

Author Spotlight: Unveiling the Potential of TUBE Technique in Spinal Surgery

Published on: November 17, 2023

Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation

Full-Endoscopic Isolation Zone Technique for the Treatment of Lumbar Disc Herniation

Published on: April 7, 2023

相关概念视频

Local Anesthetics: Clinical Application as Spinal Anesthesia

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...