Liječnički vjesnik, Vol. 136 No. 9-10, 2014.
Professional paper
FIRST GUIDELINES OF CROATIAN INTEREST GROUP IN DIAGNOSING AND TREATING PAIN CONDITIONS OF CERVICAL AND THORACIC SPINE USING MINIMALLY INVASIVE PROCEDURES
Karlo Houra
Darko Ledić
Dražen Kvesić
Darko Perović
Ivan Radoš
Leonardo Kapural
Abstract
Pain syndromes originating from cervical and thoracic spine remain to be a major public health problem. Medical expenses in general and surgical procedures associated with overall care for the neck and thoracic pain are high and growing. Furthermore, these two chronic pain conditions are also leading causes for missed workdays. Chronic pain syndromes originating from cervical spine are most commonly caused by degenerative changes of the facet joints. Cervicobrachial syndrome is most commonly caused by herniated discs. Diagnostic controlled blocks, performed in order to identify the source of pain, often predetermine patient for further therapeutic minimally invasive interventions. If the chronic pain syndromes of the cervical and thoracic spine are caused by degenerative facet joints, patient can be offered neuroablative procedures using radiofrequency. In patients suffering from chronic cervical and thoracic pain caused by painful intervertebral disc minimally invasive intradiscal decompression procedures can be performed. In cases where the neck pain and radicular pain are caused by the central and foraminal spinal stenosis patients are advised epidural steroid injections. The purpose of above advised procedures, using steroids, local anesthetics and RF current, is to relieve patients’ pain, allow optimal physical therapy, and improved functional capacity, consequently providing a better quality of life.
Keywords
Neck pain – etiology, diagnosis, therapy; Radiculopathy – complications, diagnosis, therapy; Intervertebral disc displacement – complications, diagnosis, therapy; Intervertebral disc – pathology, radiography; Cervical vertebrae – pathology; Thoracic vertebrae – pathology; Spinal diseases – complications, diagnosis, therapy; Practice guidelines as topic; Croatia
Hrčak ID:
172627
URI
Publication date:
29.10.2014.
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