Kovac Damir, Rotim Kresimir, Bozić Boris, Sajko Tomislav, Kejla Zvonimir, Perović Darko, Kvesić Drazen, Houra Karlo, Skoro Ivan, Ivanec Zeljko, Borić Marta, Sesar Nikolina, Subasić Ante
Acta Med Croatica. 2013 Jun;67(3):225-31.
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. Treatment of pain syndrome affecting spine depends on a variety of factors and generally includes conservative and invasive methods. Relative indication for interventional and surgical procedures is long lasting back pain, the symptoms of which, predominantly 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 operations 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.
主要由机械性紊乱引起的背痛是最常见的背痛类型，通常见于年轻和中年人群，即活跃人群。这就是背痛成为最重要的公共卫生问题之一的原因。影响脊柱的疼痛综合征的治疗取决于多种因素，一般包括保守治疗和侵入性治疗方法。介入和外科手术的相对指征是长期背痛，其症状主要是疼痛，会给患者的日常活动带来重大问题。在保守治疗至少3个月未成功后才进行侵入性/外科治疗。侵入性和外科手术包括广泛的干预措施，从介入性和半介入性手术、微创手术到包括器械植入在内 的广泛的侵入性手术。干预措施的选择基于临床检查结果、疼痛及其他症状的持续时间和严重程度，以及诊断报告。尽管有基于临床研究结果的建议，但对每个患者采取个性化方法是成功治疗的主要原则。
