PT  - JOURNAL ARTICLE
AU  - Morgan Lorio
AU  - Kai-Uwe Lewandrowski
AU  - Domagoj Coric
AU  - Frank Phillips
AU  - Christopher I. Shaffrey
TI  - International Society for the Advancement of Spine Surgery Statement: Restorative Neurostimulation for Chronic Mechanical Low Back Pain Resulting From Neuromuscular Instability
AID  - 10.14444/8525
DP  - 2023 Oct 01
TA  - International Journal of Spine Surgery
PG  - 728--750
VI  - 17
IP  - 5
4099  - http://ijssurgery.com//content/17/5/728.short
4100  - http://ijssurgery.com//content/17/5/728.full
SO  - Int J Spine Surg2023 Oct 01; 17
AB  - This International Society for the Advancement of Spine Surgery statement has been generated to respond to growing requests for background, supporting literature and evidence, and proper coding for restorative neurostimulation for chronic low back pain. Chronic low back pain describes the diverse experience of a significant proportion of the population. Conservative management of these patients remains the predominant care pathway, but for many patients, symptom relief is poor. The application of new techniques in patients who have exhausted traditional care paradigms should be undertaken with a detailed understanding of the pathology being treated, the mechanisms involved, and the data supporting efficacy. This statement on restorative neurostimulation places this technology in the context of the current understanding of the etiology of mechanical low back pain and the currently available evidence for this technique. In an appropriately selected cohort with a specific subset of chronic low back pain symptoms, this technique may provide benefit to payers and patients.