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国际脊柱手术进展协会2020年政策更新——微创骶髂关节融合术(用于慢性骶髂关节疼痛):覆盖范围、适应症、局限性及医疗必要性

International Society for the Advancement of Spine Surgery Policy 2020 Update-Minimally Invasive Surgical Sacroiliac Joint Fusion (for Chronic Sacroiliac Joint Pain): Coverage Indications, Limitations, and Medical Necessity.

作者信息

Lorio Morgan, Kube Richard, Araghi Ali

机构信息

Advanced Orthopedics, Altamonte Springs, Florida.

Prairie Spine & Pain Institute, Peoria, Illinois.

出版信息

Int J Spine Surg. 2020 Dec;14(6):860-895. doi: 10.14444/7156. Epub 2020 Dec 29.

Abstract

The index 2014 International Society for the Advancement of Spine Surgery Policy Statement-Minimally Invasive Surgical Sacroiliac Joint Fusion-was generated out of necessity to provide an (ICD-9)-based background and emphasize tools to ensure correct diagnosis. A timely ICD-10-based 2016 update provided a granular threshold selection with improved level of evidence and a more robust and relevant database (Appendix Table A1). As procedures and treatment options have evolved, this 2020 update reviews and analyzes the expanding evidence base and provides guidance relating to differences between the lateral and dorsal surgical procedures for minimally invasive surgical sacroiliac joint fusion.

摘要

2014年国际脊柱手术进展协会政策声明——微创骶髂关节融合术,是出于提供基于《国际疾病分类第九版》(ICD - 9)背景并强调确保正确诊断工具的必要性而产生的。基于ICD - 10的2016年及时更新提供了更精细的阈值选择、更高水平的证据以及更强大且相关的数据库(附录表A1)。随着手术程序和治疗选择的不断发展,此次2020年更新回顾并分析了不断扩大的证据基础,并就微创骶髂关节融合术的外侧和背侧手术程序之间的差异提供了指导。

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