Review article
GUIDELINES FOR INTERVENTIONAL AND INVASIVE TREATMENT IN PATIENTS WITH MECHANICAL BACK PAIN
DAMIR KOVAČ
; Sestre milosrdnice University Hospital Center, Clinical Department of Neurosurgery, Clinical Department of Traumatology, Zagreb, Croatia
KREŠIMIR ROTIM
; Sestre milosrdnice University Hospital Center, Clinical Department of Neurosurgery, Clinical Department of Traumatology, Zagreb, Croatia
BORIS BOŽIĆ
; Sestre milosrdnice University Hospital Center, Clinical Department of Neurosurgery, Clinical Department of Traumatology, Zagreb, Croatia
TOMISLAV SAJKO
; Sestre milosrdnice University Hospital Center, Clinical Department of Neurosurgery, Clinical Department of Traumatology, Zagreb, Croatia
ZVONIMIR KEJLA
; Sveta Katarina Special Hospital, Zabok, Croatia
DARKO PEROVIĆ
; Lumbago Polyclinic, Zagreb, Croatia
DRAŽEN KVESIĆ
; Sestre milosrdnice University Hospital Center, Department of Anesthesiology, Resuscitation and Intensive Treatment, Zagreb, Croatia
KARLO HOURA
; Lumbago Polyclinic, Zagreb, Croatia
IVAN ŠKORO
; Sestre milosrdnice University Hospital Center, Clinical Department of Neurosurgery, Clinical Department of Traumatology, Zagreb, Croatia
ŽELJKO IVANEC
; Sestre milosrdnice University Hospital Center, Department of Anesthesiology, Resuscitation and Intensive Treatment, Zagreb, Croatia
MARTA BORIĆ
; Sestre milosrdnice University Hospital Center, Clinical Department of Neurosurgery, Clinical Department of Traumatology, Zagreb, Croatia
NIKOLINA SESAR
; Sestre milosrdnice University Hospital Center, Clinical Department of Neurosurgery, Clinical Department of Traumatology, Zagreb, Croatia
ANTE SUBAŠIĆ
; Sestre milosrdnice University Hospital Center, Clinical Department of Neurosurgery, Clinical Department of Traumatology, Zagreb, Croatia
Abstract
Back pain caused primarily by mechanical disorders is the most common type of back pain and it is usually found in young and middle-aged population, i.e. active population. This is why back pain is one of the most important public health problems. Tre¬atment of pain syndrome affecting spine depends on a variety of factors and generally includes conservative and invasive met-hods. Relative indication for interventional and surgical procedures is long lasting back pain, the symptoms of which, predomi¬nantly pain, cause significant problems for the patient on performing everyday activities. Invasive/surgical treatment is applied after minimally 3 months of unsuccessful conservative treatment. Invasive and surgical procedures comprise a wide spectrum of interventions, from interventional and semi-interventional procedures, minimally invasive procedures to extensive, invasive ope¬rations that include instrumentation. The choice of intervention is based on clinical findings, duration and severity of pain and other symptoms, as well as on diagnostic reports. Despite recommendations based on the results of clinical studies, individual approach to each patient is the main principle of successful treatment.
Keywords
back pain; guidelines; herniation; intervertebral disk; surgery; treatment
Hrčak ID:
113382
URI
Publication date:
14.1.2014.
Visits: 4.339 *