Urits Ivan, Noor Nazir, Johal Arjun Singh, Leider Joseph, Brinkman Joseph, Fackler Nathan, Vij Neeraj, An Daniel, Cornett Elyse M, Kaye Alan D, Viswanath Omar
Beth Israel Deaconess Medical Center, Department of Anesthesia, Critical Care, and Pain Medicine, Harvard Medical School, Boston, MA, USA.
Department of Anesthesiology, Mount Sinai Medical Center of Florida, Miami, FL, USA.
Pain Ther. 2021 Jun;10(1):39-53. doi: 10.1007/s40122-020-00211-2. Epub 2020 Oct 31.
Chronic low back pain affects a significant portion of patients worldwide and is a major contributor to patient disability; however, it is a difficult problem to diagnose and treat. The prevailing model of chronic low back pain has presumed to follow a discogenic model, but recent studies have shown a vertebrogenic model that involves the basivertebral nerve (BVN). Radiofrequency ablation of the BVN has emerged as a possible nonsurgical therapy for vertebrogenic low back pain. The objective of this manuscript is to provide a comprehensive review of vertebrogenic pain diagnosis and our current understanding of BVN ablation as treatment.
慢性下腰痛影响着全球相当一部分患者，是导致患者残疾的主要原因；然而，它是一个难以诊断和治疗的问题。慢性下腰痛的主流模型一直假定遵循椎间盘源性模型，但最近的研究显示了一种涉及椎基底神经（BVN）的椎体源性模型。BVN射频消融已成为椎体源性下腰痛一种可能的非手术治疗方法。本文的目的是对椎体源性疼痛的诊断以及我们目前对BVN消融治疗的理解进行全面综述。
