Titre
Quel est le rôle de la chirurgie pour les lombalgies avec des changements de type Modic à l’IRM ? [What is the role of surgery in low back pain associated with Modic changes?]
Type
synthèse (review)
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Laudato, P.A.
Auteure/Auteur
Bartanusz, V.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1660-9379
Statut éditorial
Publié
Date de publication
2017-06-21
Volume
13
Numéro
568
Première page
1292
Dernière page/numéro d’article
1295
Peer-reviewed
Oui
Langue
français
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
Benign low back pain is frequent in the lucratively active population. Degenerative changes are considered the most frequent causes. The identification of pain generators remain challenging. Bone marrow lesions, Modic changes, are frequently associated with benign low back pain, mostly type 1. The etiology of Modic changes is unknown, both infectious and autoimmune mechanisms have been suggested. Despite the strong association of Modic changes with low back pain it is not clear whether lumbar surgery (lumbar fusion, total disc replacement) has any role in the management of these patients. We conclude that all available evidence in literature is inconclusive and future studies are needed addressing more precisely the question of minimal clinically important difference (MCID) while considering of all confounding factors influencing outcome.
PID Serval
serval:BIB_ED6EF599D4F0
PMID
Date de création
2017-07-06T16:13:46.531Z
Date de création dans IRIS
2025-05-21T00:58:30Z