The DOI matches its Crossref record; 110 of the 112 references it cites were found in a registry or an index.
Outcome of invasive treatment modalities on back pain and sciatica: an evidence-based review
Open accessAbstract
Within the framework of evidence-based medicine high-quality randomised trials and systematic reviews are considered a necessary prerequisite for progress in orthopaedics. This paper summarises the currently available evidence on surgical and other invasive procedures for low back pain. Results of systematic reviews conducted within the framework of the Cochrane Back Review Group were used. Data were gathered from the latest Cochrane Database of Systematic Reviews 2005, Issue 2. The Cochrane reviews were updated using the evidence summary on surgery and other invasive procedures from the COST B13 European Guidelines for the Management of Acute and Chronic Non-Specific Low Back Pain. Facet joint, epidural, trigger point and sclerosant injections have not clearly been shown to be effective and can consequently not be recommended. There is no scientific evidence on the effectiveness of spinal stenosis surgery. Surgical discectomy may be considered for selected patients with sciatica due to lumbar disc prolapses that fail to resolve with the conservative management. Cognitive intervention Combined with exercises is recommended for chronic low back pain, and fusion surgery may be considered only in carefully selected patients after active rehabilitation programmes during 2 years time have failed. Demanding surgical fusion techniques are not better than the traditional posterolateral fusion without internal fixation.
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“several meta-analyses and reviews have demonstrated the efficacy of CBT for managing pain and improving daily functioning and independence in patients with chronic pain disorders [56, 57].”
From Psychological interventions for individuals with Ehlers-Danlos syndrome and hypermobility spectrum disorder: a scoping review (2023) · cites this paper as [57]
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Items 101–124 of 124
Future Directions and Trends in Pain Medicine
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Metadata
- Authors
- van Tulder, M. W., Koes, B., Seitsalo, S., & Malmivaara, A.
- Affiliations
- Erasmus MC (NL)
- Tekonivelsairaala Orton (FI)
- Venue
- European Spine Journal
- Published
- 2005-12-01
- Volume
- 15
- Issue
- S1
- Pages
- S82-S92
- ISSN
- 0940-6719 (ISSN-L)
- 1432-0932
- PMC
- PMC3454546
- OpenAlex
- W2095078135
- Cited by
- 124
- References
- 112
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 2 · 2021: 6 · 2020: 3 · 2019: 5 · 2018: 1 · 2017: 13 · 2016: 6 · 2015: 3 · 2014: 4 · 2013: 9 · 2012: 7
- FWCI
- 7.62
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- European Spine Journal (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- VU Research Portal (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Spine and Intervertebral Disc Pathology
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- low back pain, sciatica, invasive treatment, spinal surgery, epidural injection, facet joint injection, trigger point injection, sclerosant injection, spinal stenosis surgery, discectomy, lumbar disc herniation, cognitive intervention, physical activity, spinal fusion, posterolateral fusion, rehabilitation
- MeSH terms
- Radiofrequency Therapy, Humans, Injections, Spinal, Intervertebral Disc Displacement, Sciatica, Spinal Osteophytosis, Outcome Assessment, Health Care, Low Back Pain
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