Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Narrative Review of Pathophysiology and Endoscopic Management of Basivertebral and Sinuvertebral Neuropathy for Chronic Back Pain

  • Hyeun Sung Kim (Department of Spine Surgery, Nanoori Gangnam Hospital) ;
  • Pang Hung Wu (Department of Spine Surgery, Nanoori Gangnam Hospital) ;
  • Il-Tae Jang (Department of Spine Surgery, Nanoori Gangnam Hospital)
  • Received : 2022.06.13
  • Accepted : 2022.11.21
  • Published : 2023.07.01
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Abstract

Chronic lower back pain is a leading cause of disability in musculoskeletal system. Degenerative disc disease is one of the main contributing factor of chronic back pain in the aging population in the world. It is postulated that sinuvertebral nerve and basivertebral nerve main mediator of the nociceptive response in degenerative disc disease as a result of neurotization of sinuvertebral and basivertebral nerve. A review in literature is done on the pathoanatomy, pathophysiology and pain generation pathway in degenerative disc disease and chronic back pain and management strategy is discussed in this review to aid understanding of sinuvertebral and basivertebral neuropathy treatment strategies.

Keywords

Acknowledgement

Mr. Keong Rae Kim and Seong Hee Park for coordination of scientific research.

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