RT Book, Section
A1 Luke, Anthony
A1 Ma, C. Benjamin
A2 Papadakis, Maxine A.
A2 McPhee, Stephen J.
A2 Rabow, Michael W.
A2 McQuaid, Kenneth R.
SR Print(0)
ID 1184191400
T1 Spine Problems
T2 Current Medical Diagnosis & Treatment 2022
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781264269389
LK accessmedicine.mhmedical.com/content.aspx?aid=1184191400
RD 2024/04/19
AB KEY  CLINICAL  UPDATES  IN  SPINE  PROBLEMSExercise,  oral  NSAIDs,  and  serotonin  and  norepinephrine  reuptake  inhibitors  (duloxetine)  were  shown  in  a  systematic  review  to  produce  a  clinically  meaningful  reduction  in  pain,  with  exercise  being  the  only  intervention  that  demonstrated  sustained  benefit  after  the  intervention  ended.A  2021  meta-analysis  comparing  fusion  and  nonfusion  surgeries  for  lumbar  spinal  stenosis  found  no  difference  in  clinical  effects  and  complications,  highlighting  the  challenge  of  surgical  intervention  for  lumbar  spinal  stenosis.A  2020  Cochrane  review  of  25  placebo-controlled  trials  provides  moderate-quality  evidence  that  epidural  corticosteroid  injections  are  effective,  although  the  treatment  effects  are  small  (mean  difference  <  10%)  and  short-term  for  improving  radicular  pain  for  individuals.There  is  level  I  evidence  for  the  use  of  transforaminal  injections  for  radicular  pain  from  disk  herniation.