Chinese General Practice ›› 2023, Vol. 26 ›› Issue (32): 3995-4000.DOI: 10.12114/j.issn.1007-9572.2023.0335

• Guidelines·Consensus • Previous Articles     Next Articles

Interpretation of Best Practices for Minimally Invasive Lumbar Spinal Stenosis Treatment 2.0 (MIST) : Consensus Guidance from the American Society of Pain and Neuroscience (ASPN) in 2022

  

  1. Wangjing Hospital, Chinese Academy of Traditional Chinese Medicine, Beijing 100102, China
  • Received:2023-04-20 Revised:2023-06-27 Published:2023-11-15 Online:2023-06-30
  • Contact: LI Luguang, YU Jie

腰椎管狭窄症的微创治疗实践指南:2022年美国疼痛与神经科学学会指南解读

  

  1. 100102 北京市,中国中医科学院望京医院
  • 通讯作者: 李路广, 于杰
  • 作者简介:
    作者贡献:路广琦负责文献整理和撰写论文;庄明辉负责绘制图表;朱立国、高景华负责最终版本修订;魏戌负责文献质量评价;李路广、于杰负责论文的构思和设计,对文章整体负责。
  • 基金资助:
    国家自然科学基金面上项目(82074455); 国家中医药管理局中西医结合与少数民族医药司政府购买服务项目(ZYZB-2022-798); 中国中医科学院科技创新工程重大攻关项目(CI2021A02002); 中国中医科学院科技创新工程创新团队项目(CI2021B010)

Abstract:

Lumbar spinal stenosis (LSS) is a common disease in orthopedics. The American Society of Pain and Neuroscience (ASPN) published a new version of minimally invasive treatment practice guidelines in 2022 to improve the clinical efficacy of LSS. A total of seven treatments for LSS were included in the guidelines, including percutaneous image-guided lumbar decompression (PILD), interspinous spacers (ISP), interspinous fusion (ISF), intrathecal drug delivery systems (IDDS), spinal cord stimulation (SCS), epidural steroid injections (ESI) and open decompression. Based on the guidelines, this paper summarizes and discusses the research progress of minimally invasive treatment of LSS in the context of the clinical situation, aiming to provide a reference for clinicians and further related researches.

Key words: Lumbar spinal stenosis, Neurologic manifestations, Minimally invasive treatment, Interpretation of guidelines, American Society of Pain and Neuroscience

摘要:

腰椎管狭窄症(LSS)是骨科的常见疾病之一。为提高LSS微创治疗的临床疗效,美国疼痛与神经科学学会(ASPN)在2022年发布了新版的LSS微创治疗实践指南。指南中共纳入7项LSS治疗方法——经皮影像引导下腰椎减压(PILD)、棘突间撑开器(ISP)、棘突间融合(ISF)、鞘内药物输送系统(IDDS)、脊髓电刺激(SCS)、硬膜外类固醇注射(ESI)和开放式减压。本文在该指南的基础上结合临床实际情况,对LSS微创治疗研究进展进行总结和讨论,旨在为临床医生和进一步的相关研究提供参考。

关键词: 腰椎管狭窄症, 神经病学表现, 微创治疗, 指南解读, 美国疼痛与神经科学学会