PMID- 28643966
OWN - NLM
STAT- MEDLINE
DCOM- 20190328
LR  - 20190328
IS  - 1660-9379 (Print)
IS  - 1660-9379 (Linking)
VI  - 13
IP  - 568
DP  - 2017 Jun 21
TI  - [What is the role of surgery in low back pain associated with Modic changes?].
PG  - 1292-1295
AB  - 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.
FAU - Laudato, Pietro Aniello
AU  - Laudato PA
AD  - Unite spinale, Service de neurochirurgie, CHUV, 1011 Lausanne.
FAU - Bartanusz, Viktor
AU  - Bartanusz V
AD  - Unite spinale, Service de neurochirurgie, CHUV, 1011 Lausanne.
LA  - fre
PT  - Journal Article
TT  - Quel est le role de la chirurgie pour les lombalgies avec des changements de type 
      Modic a l'IRM ?
PL  - Switzerland
TA  - Rev Med Suisse
JT  - Revue medicale suisse
JID - 101219148
SB  - IM
MH  - Humans
MH  - *Low Back Pain/surgery
MH  - Lumbar Vertebrae
MH  - Lumbosacral Region
MH  - Magnetic Resonance Imaging
COIS- Les auteurs n'ont declare aucun conflit d'interets en relation avec cet article.
EDAT- 2017/06/24 06:00
MHDA- 2019/03/29 06:00
CRDT- 2017/06/24 06:00
PHST- 2017/06/24 06:00 [entrez]
PHST- 2017/06/24 06:00 [pubmed]
PHST- 2019/03/29 06:00 [medline]
PST - ppublish
SO  - Rev Med Suisse. 2017 Jun 21;13(568):1292-1295.