Abstract
Non-specific low back pain is second to upper respiratory problems as a reason to visit general physicians and the first to visit an Orthopaedic Surgeon’s office. The reported prevalence is as high as 73 % [1]. For active adults not seeking medical attention, the annual incidence of significant low back pain (visual analogue scale VAS 4 on a ten-point scale) with functional impairment ranges between 10 and 15 % [2]. These numbers are for low back pain without sciatica, stenosis, instability or deformity. If low back pain occurs acutely (3–6 weeks previously), it usually resolves after several weeks [3]. The problem is the persistent or chronic disabling back pain.
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Cassidy JD, Carroll LJ, Côté P. The Saskatchewan health and back pain survey. The prevalence of low back pain and related disability in Saskatchewan adults. Spine. 1998;23(17):1860–6.
Carragee E, Cohen S. Reliability of LBP history in asymptomatic subjects? The prevalence and incidence of reported back pain correlates with surveillance frequency [abstract]. Proceedings of the 14th Annual Meeting of the North American Spine Society; 2004 Oct 26–30: 216; Chicago. p. 216.
Pengel LH, Herbert RD, Maher CG, Refshauge KM. Acute low back pain: systematic review of its prognosis. BMJ. 2003;327(7410):323.
Deyo RA, Weinstein JN. Low back pain. N Engl J Med. 2001;344(5):363–70.
Feldman DE, Shrier I, Rossignol M, Abenhaim L. Risk factors for the development of low back pain in adolescence. Am J Epidemiol. 2001;154(1):30–6.
Deyo RA, Rainville J, Kent DL. What can the history and physical examination tell us about low back pain? JAMA. 1992;268(6):760–5.
Vroomen PC, de Krom MC, Knottnerus JA. Diagnostic value of history and physical examination in patients suspected of sciatica due to disc herniation: a systematic review. J Neurol. 1999;246(10):899–906.
Koes BW, van Tulder MW, Thomas S. Diagnosis and treatment of low back pain. BMJ. 2006;332(7555):1430–4.
Bigos S, bowyer O, Braen G et al. Acute low back pain problems in adults. Clinical practice guidelines no.14 Rockville, MD.: Adency for Health Care Policy and Research. December 19CPR publication no. 95–0642.
Thornbury JR, Fryback DG, Turski PA, Javid MJ, McDonald JV, et al. Disk-caused nerve compression in patients with acute low-back pain: diagnosis with MR, CT myelography, and plain CT. Radiology. 1993;186(3):731–8.
Bochen SD, Davos DO, Dina TS, Patronas NJ, Wiesel SW. Abnormal magnetic resonance scans of the lumbar spine in asymptomatic subjects: a prospective investigation. J Bone Joint Surg Am. 1990;72:403–8.
Cherkin DC, Deyo RA, Street JH, Barlow W. Predicting poor outcomes for back pain seen in primary care using patients’ own criteria. Spine. 1996;21(24):2900–7.
Carey TS, Garrett JM, Jackman A, Hadler N. Recurrence and care seeking after acute back pain: results of a long-term follow-up study. North Carolina Back Pain Project. Med Care. 1999;37(2):157–64.
Fordyce WE, Brockway JA, Bergman JA, Spengler D. Acute back pain: a control-group comparison of behavioral vs traditional management methods. J Behav Med. 1986;9(2):127–40.
Andersson GB, Lucente T, Davis AM, Kappler RE, Lipton JA, Leurgans S. A comparison of osteopathic spinal manipulation with standard care for patients with low back pain. N Engl J Med. 1999;341(19):1426–31.
Lahad A, Malter AD, Berg AO, Deyo RA. The effectiveness of four interventions for the prevention of low back pain. JAMA. 1994;272(16):1286–91.
Van Tulder MW, Koes BW. Low back pain: chronic, clinical evidence. London: BMJ; 2006.
Van Tulder MW, Ostelo R, Vlaeyen JW, et al. Behavioral treatment for chronic low back pain: a systematic review within the framework of the Cochrane Back Review Group. Spine. 2001;26:270–81.
Manniche C, Hesselsøe G, Bentzen L, Christensen I, Lundberg E. Clinical trial of intensive muscle training for chronic low back pain. Lancet. 1988;2(8626–8627):1473–6.
Frost H, Lamb SE, Klaber Moffett JA, Fairbank JC, Moser JS. A fitness programme for patients with chronic low back pain: 2-year follow-up of a randomised controlled trial. Pain. 1998;75(2–3):273–9.
Turner JA, Denny MC. Do antidepressant medication relieve chronic low back pain? J Fam Pract. 1993;37:545–50.
Van Kleef M, Barendse GA, Kessels A, Voets HM, et al. Randomized trial of radiofrequency lumbar facet denervation for chronic low back pain. Spine. 1999;24:1937–42.
Dreyfuss P, Halbrook B, Pauza K, Joshi A, et al. Efficacy and validity of radiofrequency neurotomy for chronic lumbar zygapophysial joint pain. Spine. 2000;25:1270–7.
Barendse GA, van Den Berg SG, Kessels AH, Weber WE, van Kleef M. Randomized controlled trial of percutaneous intradiscal radiofrequency thermocoagulation for chronic discogenic back pain: lack of effect from a 90 s 70° lesion. Spine. 2001;26:287–92.
Pauza KJ, Howell S, Dreyfuss P, Peloza JH, Dawson K, Bogduk N. A randomized, placebo-controlled trial of intradiscal electrothermal therapy for the treatment of discogenic low back pain. Spine J. 2004;4(1):27–35.
Ivar Brok J, Sorenson R, Friis A, et al. Randomized clinical trial for lumbar instrumented fusion and cognitive intervention and exercises in patients with chronic low back pain and discs degeneration. Spine. 2003;28:1913–21.
Fritzell P, Hägg O, Wessberg P, Nordwall A, Swedish Lumbar Spine Study Group. 2001 Volvo Award Winner in Clinical Studies: lumbar fusion versus nonsurgical treatment for chronic low back pain: a multicenter randomized controlled trial from the Swedish lumbar spine study group. Spine. 2001;26:2521–32.
Carragee E, Alamin T. A prospective assessment of patient expectations and statisfaction in spinal fusion surgery [abstract]. Proceedings of the 30th Annual meeting of the International Society for the study of the lumbar spine; 2003 May 13–17; Vancouver.
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Eyb, R., Grabmeier, G. (2014). Strategies for Low Back Pain. In: Bentley, G. (eds) European Surgical Orthopaedics and Traumatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34746-7_35
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DOI: https://doi.org/10.1007/978-3-642-34746-7_35
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