Advancements in the management of spine disorders

Scott Haldeman, Deborah Kopansky-Giles, Eric L. Hurwitz, Damian Hoy, W. Mark Erwin, Simon Dagenais, Greg Kawchuk, Björn Strömqvist, Nicolas Walsh

Producción científica: Review articlerevisión exhaustiva

68 Citas (Scopus)

Resumen

Spinal disorders and especially back and neck pain affect more people and have greater impact on work capacity and health-care costs than any other musculoskeletal condition. One of the difficulties in reducing the burden of spinal disorders is the wide and heterogeneous range of specific diseases and non-specific musculoskeletal disorders that can involve the spinal column, most of which manifest as pain. Despite, or perhaps because of its impact, spinal disorders remain one of the most controversial and difficult conditions for clinicians, patients and policymakers to manage. This paper provides a brief summary of advances in the understanding of back and neck pain over the past decade as evidenced in the current literature. This paper includes the following sections: a classification of spinal disorders; the epidemiology of spine pain in the developed and developing world; key advancements in biological and biomechanical sciences in spine pain; the current status of potential methods for the prevention of back and neck pain; rheumatological and systemic disorders that impact the spine; and evidence-based surgical and non-surgical management of spine pain. The final section of this paper looks to the future and proposes actions and strategies that may be considered by the international Bone and Joint Decade (BJD), by providers, institutions and by policymakers so that we may better address the burden of spine disorders at global and local levels.

Idioma originalEnglish (US)
Páginas (desde-hasta)263-280
Número de páginas18
PublicaciónBest Practice and Research: Clinical Rheumatology
Volumen26
N.º2
DOI
EstadoPublished - abr 2012

ASJC Scopus subject areas

  • Rheumatology

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