J Minim Invasive Spine Surg Tech.  2017 Jun;2(1):7-14. 10.21182/jmisst.2017.00206.

Minimally Invasive Treatment for Back Pain

Affiliations
  • 1Department of Neurosurgery, Seoul St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea

Abstract

Low Back Pain (LBP) is considered as one of the most frequent disorders, which about 80% of adults experience in their lives. Chronic low back pain (CLBP) lasting 3 months or more has been also reported from 4% to 10%. Although most people with back pain recover within a few months, back pain with chronic nature and frequently relapsed pattern is one of the important causes of job loss. Therefore, properly treating back pain has been a great issue to patients, their families, and spine surgeons. CLBP management consists of intervention strategies, physical therapy, surgery, and pharmacological treatment. The intervertebral disc (IVD), zygapophyseal (facet) joint and sacroiliac joint are the three primary structures that develop chronic low back pain. And Minimally Invasive Spinal Treatment (MIST) is being used increasingly for back pain. Since the late 20th century, technological developments and advanced equipment (Radiofrequency, endoscopy, video, laser, etc) have also greatly contributed to the expansion of MIST for treatment of CLBP. We will review the literatures which dealed with diagnosis and treatment of CLBP and introduce newly proposed treatments.

Keyword

Chronic low back pain; Literature; Intervertebral disc; Zygapophyseal (facet) joint; Sacroiliac joint
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