Best Practice Guidelines on the Diagnosis and Treatment of Vertebrogenic Pain with Basivertebral Nerve Ablation from the American Society of Pain and Neuroscience.
Dawood SayedRamana K NaiduKiran V PatelNatalie Holmes StrandPankaj MehtaChristopher M LamVinicius Tieppo FrancioSamir ShethAnthony GiuffridaBrian DurkinNasir KhatriShashank VodapallyChristopher O JamesBenjamin D WesterhausAdam RuppNewaj M AbdullahKasra AmirdelfanErika A PetersenDouglas P BeallTimothy Ray DeerPublished in: Journal of pain research (2022)
Chronic low back pain is a worldwide leading cause of pain and disability. Degenerative disc disease has been the presumptive etiology in the majority of cases of chronic low back pain (CLBP). More recent study and treatments have discovered that the vertebral endplates play a large role in CLBP in a term defined as vertebrogenic back pain. As the vertebral endplates are highly innervated via the basivertebral nerve (BVN), this has resulted in a reliable target in treating patients suffering from vertebrogenic low back pain (VLBP). The application of BVN ablation for patients suffering from VLBP is still in its early stages of adoption and integration into spine care pathways. BVN ablation is grounded in a solid foundation of both pre-clinical and clinical evidence. With the emergence of this therapeutic option, the American Society of Pain and Neuroscience (ASPN) identified the need for formal evidence-based guidelines for the proper identification and selection of patients for BVN ablation in patients with VLBP. ASPN formed a multidisciplinary work group tasked to examine the available literature and form best practice guidelines on this subject. Based on the United States Preventative Task Force (USPSTF) criteria for grading evidence, gives BVN ablation Level A grade evidence with high certainty that the net benefit is substantial in appropriately selected individuals.
Keyphrases
- end stage renal disease
- chronic kidney disease
- chronic pain
- newly diagnosed
- ejection fraction
- healthcare
- pain management
- prognostic factors
- peritoneal dialysis
- systematic review
- primary care
- neuropathic pain
- multiple sclerosis
- radiofrequency ablation
- clinical practice
- patient reported outcomes
- spinal cord injury
- body composition
- preterm infants
- catheter ablation
- bone mineral density
- peripheral nerve