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基础脊椎神经切除治疗慢性腰部疼痛的进展:叙述性综述

Sujeivan Mahendram¹, Paul J Christo¹

¹Division of Pain Medicine, Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.

Journal of personalized medicine

|March 26, 2025

概括

慢性腰部疼痛可能是由脊椎末板问题引起的,而不仅仅是磁盘退化. 基础脊椎神经切除为这种特定的脊椎性疼痛原因提供了向治疗.

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:

慢性腰部疼痛通常与椎间盘退化有关.
新出现的证据表明,脊椎末板的破坏和退化是疼痛的重要来源.
基椎神经 (BVN) nociception 由莫迪克变化的结果是一个关键因素.

研究的目的:

审查最近在骨内基础脊椎神经切除方面的进展.
讨论这种微创治疗的合理性,有效性和安全性.
为未来的脊椎性背痛研究确定知识缺口.

主要方法:

关于莫迪克变化和BVN切除的当前文献的综述.
对诊断方法的分析,包括MRI对Modic变化的分析.
评估用于BVN治疗的射频除技术.

主要成果:

在MRI上的模态变化是BVN介导疼痛的诊断指标.
最少侵入性的射频除显示出治疗脊椎性疼痛的前景.
骨内BVN切除提供了一个个性化的治疗选择.

结论:

来自末变化的脊椎性背痛是一种独特的临床实体.
对于被选中的患者来说,BVN切除是一种有效和安全的治疗方法.
需要进一步的研究来优化治疗方案,并了解长期的结果.

关键词:

模态变化模态变化轴性腰部疼痛轴性腰部疼痛基础脊椎神经的切除这是一种脊椎原性脊椎原体.

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