Commonly used interventional procedures for non-cancer chronic spine pain: a clinical practice guideline.

current_practice

Chronic spine pain is a common, potentially disabling complaint, for which clinicians often administer interventional procedures.

慢性脊柱疼痛是一种常见且可能致残的病症，临床医生常常采用介入性程序进行治疗。

However, clinical practice guidelines provide inconsistent recommendations for their use.

然而，临床实践指南对于其使用提供了不一致的建议。

recommendations

For people living with chronic axial spine pain (≥3 months), the guideline panel issued strong recommendations against: joint radiofrequency ablation with or without joint targeted injection of local anaesthetic plus steroid; epidural injection of local anaesthetic, steroids, or their combination; joint-targeted injection of local anaesthetic, steroids, or their combination; and intramuscular injection of local anaesthetic with or without steroids.

对于患有慢性轴向脊柱痛（≥3个月）的患者，指南小组强烈建议不要进行以下治疗：关节射频消融，无论是否联合局部麻醉药加类固醇的关节靶向注射；硬膜外注射局部麻醉药、类固醇或它们的组合；关节靶向注射局部麻醉药、类固醇或它们的组合；以及肌肉注射局部麻醉药，无论是否联合类固醇。

For people living with chronic radicular spine pain (≥3 months), the guideline panel issued strong recommendations against: dorsal root ganglion radiofrequency with or without epidural injection of local anaesthetic or local anaesthetic plus steroids; and epidural injection of local anaesthetic, steroids, or their combination.

对于患有慢性根性脊柱疼痛（≥3个月）的患者，指南小组强烈建议不采用：背根神经节射频治疗，无论是否伴有局部麻醉药的硬膜外注射或局部麻醉药加类固醇的硬膜外注射；以及硬膜外注射局部麻醉药、类固醇或它们的组合。

how_this_guideline_was_created

An international guideline development panel including four people living with chronic spine pain, 10 clinicians with experience managing chronic spine pain, and eight methodologists, produced these recommendations in adherence with standards for trustworthy guidelines using the GRADE approach.

一个由四名患有慢性脊柱疼痛的人、10名有管理慢性脊柱疼痛经验的临床医生和八名方法学家组成的国际指南制定小组，按照可信指南的标准，使用GRADE方法制定了这些建议。

The MAGIC Evidence Ecosystem Foundation provided methodological support.

MAGIC证据生态系统基金会提供了方法学支持。

The guideline panel applied an individual patient perspective when formulating recommendations.

指南小组在制定建议时应用了针对个别患者的视角。

the_evidence

These recommendations are informed by a linked systematic reviewand network meta-analysisof randomised trials and a systematic reviewof observational studies, summarising the current body of evidence for benefits and harms of common interventional procedures for axial and radicular, chronic, non-cancer spine pain.

这些推荐意见是基于对随机试验的系统综述和网络荟萃分析以及对观察性研究的系统综述，总结了当前关于轴向和根性慢性非癌症脊柱疼痛常见干预程序的益处和危害的证据体。

Specifically, injection of local anaesthetic, steroids, or their combination into the cervical or lumbar facet joint or sacroiliac joint; epidural injections of local anaesthetic, steroids, or their combination; radiofrequency of dorsal root ganglion; radiofrequency denervation of cervical or lumbar facet joints or the sacroiliac joint; and paravertebral intramuscular injections of local anaesthetic, steroids, or their combination.

具体来说，包括将局部麻醉药、类固醇或它们的组合注射到颈椎或腰椎小关节或骶髂关节；硬膜外注射局部麻醉药、类固醇或它们的组合；背根神经节的射频；颈椎或腰椎小关节或骶髂关节的射频消融；以及椎旁肌肉注射局部麻醉药、类固醇或它们的组合。