Dorsi Michael J, Buchanan Patrick, Vu Chau, Bhandal Harjot S, Lee David W, Sheth Samir, Shumsky Phil M, Brown Nolan J, Himstead Alexander, Mattie Ryan, Falowski Steven M, Naidu Ramana, Pope Jason E
Department of Neurosurgery, UCLA, Westlake Village, CA, USA.
Spanish Hills Interventional Pain Specialists, Camarillo, CA, USA.
Pain Ther. 2024 Jun;13(3):349-390. doi: 10.1007/s40122-024-00588-4. Epub 2024 Mar 23.
Interventional treatment options for the lumbar degenerative spine have undergone a significant amount of innovation over the last decade. As new technologies emerge, along with the surgical specialty expansion, there is no manuscript that utilizes a review of surgical treatments with evidence rankings from multiple specialties, namely, the interventional pain and spine communities. Through the Pacific Spine and Pain Society (PSPS), the purpose of this manuscript is to provide a balanced evidence review of available surgical treatments.
The PSPS Research Committee created a working group that performed a comprehensive literature search on available surgical technologies for the treatment of the degenerative spine, utilizing the ranking assessment based on USPSTF (United States Preventative Services Taskforce) and NASS (North American Spine Society) criteria.
The surgical treatments were separated based on disease process, including treatments for degenerative disc disease, spondylolisthesis, and spinal stenosis.
There is emerging and significant evidence to support multiple approaches to treat the symptomatic lumbar degenerative spine. As new technologies become available, training, education, credentialing, and peer review are essential for optimizing patient safety and successful outcomes.
在过去十年中，腰椎退行性疾病的介入治疗方法经历了大量创新。随着新技术的出现以及外科专业领域的扩展，目前尚无利用多专业（即介入疼痛和脊柱领域）的手术治疗证据排名进行综述的手稿。通过太平洋脊柱与疼痛协会（PSPS），本手稿旨在对现有手术治疗进行全面的证据综述。
PSPS研究委员会成立了一个工作组，该工作组利用基于美国预防服务工作组（USPSTF）和北美脊柱协会（NASS）标准的排名评估，对治疗退行性脊柱的现有手术技术进行了全面的文献检索。
手术治疗根据疾病进程进行分类，包括针对椎间盘退变疾病、椎体滑脱和椎管狭窄的治疗。
有新出现的且重要的证据支持多种治疗有症状的腰椎退行性疾病的方法。随着新技术的出现，培训、教育、资质认证和同行评审对于优化患者安全和取得成功的治疗结果至关重要。
