Endoscopic Management of Basivertebral and Sinuvertebral Neuropathy for Chronic Back Pain

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Abstract

Chronic lower back pain significantly contributes to disability within the musculoskeletal system, affecting a substantial portion of the global population. Among the numerous factors contributing to chronic back pain, degenerative disc disease plays a prominent role, particularly in the aging population. It is hypothesized that the sinuvertebral and basivertebral nerves are the primary mediators of the nociceptive response observed in degenerative disc disease, resulting from the neurotization of these nerves. Extensive research has been conducted to explore the pathoanatomy, pathophysiology, and pain generation pathways involved in degenerative disc disease and chronic back pain. In this book chapter, the authors describe management strategies for sinuvertebral and basivertebral neuropathy and related low back pain symptoms. By examining the current literature, a better understanding of the treatment options and approaches for addressing this condition can be attained.

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