Purpose of Review

Chronic low back pain (CLBP) is a major cause of disability in the USA, and it affects approximately 1 in 4 Americans. CLBP patients are commonly referred to or seek out neurosurgical evaluations and opinions for treatment and management.

Recent Findings

Literature shows that only a minority of patients with CLBP may benefit from a surgical procedure. These patients that present to clinic often have been ailing for a considerable amount of time and are eager for effective treatment to alleviate pain. However, determining if a patient with CLBP is a surgical candidate is predicated upon having no success of pain relief with non-operative management. Patients with CLBP require thorough and adequate imaging, clinical exam, and diagnostic evaluation.

Summary

When adequate non-operative management was provided, and proven fruitless, the patient may be considered an operative candidate. In this manuscript, a framework is presented for workup and evaluation of patients with CLBP.

中文翻译：

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慢性下腰痛患者的神经外科评估。

审查目的

慢性下背痛（CLBP）在美国是导致残疾的主要原因，它影响约四分之一的美国人。CLBP患者通常被转介或寻求神经外科评估和意见以进行治疗和管理。

最近的发现

文献表明，只有少数CLBP患者可以从外科手术中受益。这些到诊所就诊的病人通常病了很长时间，并渴望有效的治疗以减轻疼痛。但是，如果使用非手术治疗无法成功缓解疼痛，则要确定CLBP患者是否为手术候选者。CLBP患者需要彻底而充分的影像学检查，临床检查和诊断评估。

概要

如果提供了适当的非手术治疗，并且被证明无效，则可以将患者视为手术候选人。在此手稿中，提出了一个框架，用于CLBP患者的检查和评估。