title: [Guidelines for interventional and invasive treatment in patients with mechanical back pain].
abstract: Back pain caused primarily by mechanical disorders is the most common type of back pain and it is usually found in young and middle-aged population, i.e. active population. This is why back pain is one of the most important public health problems. Treatment of pain syndrome affecting spine depends on a variety of factors and generally includes conservative and invasive methods. Relative indication for interventional and surgical procedures is long lasting back pain, the symptoms of which, predominantly pain, cause significant problems for the patient on performing everyday activities. Invasive/surgical treatment is applied after minimally 3 months of unsuccessful conservative treatment. Invasive and surgical procedures comprise a wide spectrum of interventions, from interventional and semi-interventional procedures, minimally invasive procedures to extensive, invasive operations that include instrumentation. The choice of intervention is based on clinical findings, duration and severity of pain and other symptoms, as well as on diagnostic reports. Despite recommendations based on the results of clinical studies, individual approach to each patient is the main principle of successful treatment.
authors.forename: Damir
authors.initials: D
authors.lastname: Kovac
authors.forename: Kresimir
authors.initials: K
authors.lastname: Rotim
authors.forename: Boris
authors.initials: B
authors.lastname: Bozić
authors.forename: Tomislav
authors.initials: T
authors.lastname: Sajko
authors.forename: Zvonimir
authors.initials: Z
authors.lastname: Kejla
authors.forename: Darko
authors.initials: D
authors.lastname: Perović
authors.forename: Drazen
authors.initials: D
authors.lastname: Kvesić
authors.forename: Karlo
authors.initials: K
authors.lastname: Houra
authors.forename: Ivan
authors.initials: I
authors.lastname: Skoro
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Ivanec
authors.forename: Marta
authors.initials: M
authors.lastname: Borić
authors.forename: Nikolina
authors.initials: N
authors.lastname: Sesar
authors.forename: Ante
authors.initials: A
authors.lastname: Subasić
mesh_terms: D019299:Decompression, Surgical / Q000379:methods; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000175:diagnosis / Q000601:surgery*; D008159:Lumbar Vertebrae / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000592:standards; D017410:Practice Guidelines as Topic; D013123:Spinal Fusion / Q000592:standards