Review article

Minimally invasive procedures in diagnosis of low back and radicular pain

Karlo Houra ; Specijalna bolnica za ortopediju, kirurgiju, neurologiju, fizikalnu medicinu i rehabilitaciju “Sveta Katarina”, Zabok
Darko Perović ; Specijalna bolnica za ortopediju, kirurgiju, neurologiju, fizikalnu medicinu i rehabilitaciju “Sveta Katarina”, Zabok
Andrej Radić ; Specijalna bolnica za ortopediju, kirurgiju, neurologiju, fizikalnu medicinu i rehabilitaciju “Sveta Katarina”, Zabok
Dubravka Bartolek Hamp ; Specijalna bolnica za ortopediju, kirurgiju, neurologiju, fizikalnu medicinu i rehabilitaciju “Sveta Katarina”, Zabok
Duje Vukas ; Klinika za neurokirurgiju, KBC Rijeka, Rijeka
Darko Ledić ; Klinika za neurokirurgiju, KBC Rijeka, Rijeka

Abstract

Low back and radicular pain make a significant health concern. They are also one of the leading, medically related, causes for missed work. Furthermore, expenses for surgery are often very high. Adequate diagnosis of low back and radicular pain involves detailed knowledge of the anatomy of the lumbar spine and the nerve structures, as well as handling with C-arm. The purpose of these procedures, with the use of short-acting local anesthetic, is to anesthetize specific nerve endings in order to verify which anatomical structures are true pain generators. This is important because low back pain can be caused by vast palette of spine disorders. The most common include degenerative intervertebral disc disease, changes in the zygapophyseal (facet) joints, damaged sacroiliac joint or disc herniation. Depending on the different anatomical structures that can cause the low back and radicular pain, one can use several minimally invasive diagnostic procedures. Each minimally invasive diagnostic procedure, with which we confirm the exact cause of low back pain or radicular pain, consequently predisposes patients for minimally invasive therapeutic intervention.

Keywords

diagnosis; low back pain; radicular pain

Hrčak ID:

86936

URI

https://hrcak.srce.hr/86936

Publication date:

3.9.2012.

Article data in other languages: croatian

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