慢性腰部疼痛的最少侵入性治疗方法
Chelsey M Hoffmann1, Ryan Mattie, Samir J Sheth
1At the time this article was written, Chelsey M. Hoffmann was academic co-director of the PA program at the Mayo Clinic School of Health Science in Rochester, Minn. She now practices in the Department of Pain Medicine, Division of Anesthesiology, at the Mayo Clinic in Rochester, Minn. Ryan Mattie practices at Total Spine Institute in Los Angeles, Calif. Samir J. Sheth practices at Sutter Health in Roseville, Calif. Ryan S. D'Souza is director of neuromodulation and a consultant in the Department of Pain Medicine, Division of Anesthesiology, at the Mayo Clinic. Ms. Hoffmann discloses that she provides general consulting for SPR Therapeutics and Nalu Medical. Dr. Sheth is a consultant for SPR, Medtronic, Boston Scientific, and Vertos. Dr. D'Souza has an investigator-initiated grant with Nevro Corp. The authors have disclosed no other potential conflicts of interest, financial or otherwise.
这项研究审查了慢性腰部疼痛 (LBP) 引起的脊柱狭窄,面关节,脊椎或圆盘的最小侵入性治疗方法. 一个新的临床工具有助于为每个患者选择最佳治疗方法.
科学领域:
- 疼痛管理 疼痛管理
- 最少侵入性手术的方法
- 脊柱疾病 脊柱疾病
背景情况:
- 慢性腰部疼痛 (LBP) 显著影响生活质量.
- 常见的LBP原因包括腰椎脊柱狭窄,面性疼痛,脊椎性疼痛和光盘性疼痛.
研究的目的:
- 描述慢性LBP的最小侵入性治疗选择.
- 为患者选择引入临床决策工具.
主要方法:
- 对最小侵入性LBP治疗的文献综述.
- 开发一个临床决策算法.
主要成果:
- 对LBP的各种最小侵入性技术的概述.
- 拟议的工具对针对性干预的患者进行了分层.
结论:
- 最少侵入性治疗为特定的LBP病因提供了可行的选择.
- 决策工具可以优化患者管理和治疗结果.
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