Vertos Medical Clinical Publication

The American Society of Pain and Neuroscience (ASPN) Evidence-Based Clinical Guideline of Interventional Treatments for Low Back Pain

Source— Dovepress; Journal of Pain Research 2022 Author— Sayed D, Grider J, Strand N, Hagedorn JM, Falowski S, Lam CM, Tieppo Francio V, Beall DP, Tomycz ND, Davanzo JR, Aiyer R, Lee DW, Kalia H, Sheen S, Malinowski MN, Verdolin M, Vodapally S, Carayannopoulos A, Jain S, Azeem N, Tolba R, Chang Chien GC, Ghosh P, Mazzola AJ, Amirdelfan K, Chakravarthy K, Petersen E, Schatman ME, Deer T Published December 6, 2022

Painful lumbar spinal disorders represent a leading cause of disability in the US and worldwide. Interventional treatments for lumbar disorders are an effective treatment for the pain and disability from low back pain. The American Society of Pain and Neuroscience (ASPN) identified an educational need for a comprehensive clinical guideline to provide evidence-based recommendations.  As a result, experts from the fields of Anesthesiology, Physiatry, Neurology, Neurosurgery, Radiology, and Pain Psychology developed the ASPN Back Guideline.

The ASPN Back Guideline represents the first comprehensive analysis and grading of the existing and emerging interventional treatments available for low back pain in relation to injection therapy, minimally invasive spine procedures, neuromodulation, and ablative therapies. Under the category of minimally invasive spine procedures, percutaneous image-guided minimally invasive lumbar decompression (PILD), commonly referred to as the mild® Procedure, demonstrated sufficient evidence in the form of three randomized controlled trials (RCTs) and several prospective observational studies, for the committee to make recommendations.

The guideline provides a comprehensive framework for the safe and effective utilization of interventional treatments for lumbar disorders and concludes that treatments should be utilized based on the published efficacy and relative risk data.

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