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Radiologia. 2016 Apr;58 Suppl 1:26-34. doi: 10.1016/j.rx.2015.12.004. Epub 2016 Feb 10.

Degenerative disease of the lumbar spine.

[Article in English, Spanish]

Author information

1
Departamento Científico, Fundación Kovacs, Palma de Mallorca, España; Red Española de Investigadores en Dolencias de la Espalda (REIDE), España.
2
Red Española de Investigadores en Dolencias de la Espalda (REIDE), España; Servicio de Radiología, Fundación IVO, Valencia, España. Electronic address: aranae@uv.es.

Abstract

In the last 25 years, scientific research has brought about drastic changes in the concept of low back pain and its management. Most imaging findings, including degenerative changes, reflect anatomic peculiarities or the normal aging process and turn out to be clinically irrelevant; imaging tests have proven useful only when systemic disease is suspected or when surgery is indicated for persistent spinal cord or nerve root compression. The radiologic report should indicate the key points of nerve compression, bypassing inconsequential findings. Many treatments have proven inefficacious, and some have proven counterproductive, but they continue to be prescribed because patients want them and there are financial incentives for doing them. Following the guidelines that have proven effective for clinical management improves clinical outcomes, reduces iatrogenic complications, and decreases unjustified and wasteful healthcare expenditures.

KEYWORDS:

Ciática; Columna; Diagnostic imaging; Diagnóstico por la imagen; Estenosis del conducto espinal; Low back pain; Lumbalgia; Magnetic resonance imaging; Neuroreflexotherapy; Neurorreflejoterapia; Resonancia magnética; Sciatica; Spinal canal stenosis; Spine; Tratamiento; Treatment

PMID:
26872873
DOI:
10.1016/j.rx.2015.12.004
[Indexed for MEDLINE]
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