Operative Therapiemaßnahmen bei chronischem Rückenschmerz - Nutzen und Stellenwert operativer Verfahren

Abstract

The initial treatment of most patients with chronic low back pain should consist of non-operative therapy, preferably according to established multimodal protocols. Part of that therapy should be sufficient pain management and physical therapy as well as information of the patients about the nature of their disease and the role of cognitive-behavioral factors. In case of patients with anticipated psychosocial co-morbidity modification of the therapy is required. However, if conservative therapy fails despite adequate duration, one should consider surgery and inform patients about its effectiveness and potential complications.