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. 2023 Jun 10;2(2):100256. doi: 10.1016/j.inpm.2023.100256

Table 1.

Inclusion and Exclusion Criteria

The primary inclusion and exclusion criteria for the two pooled studies are outlined below. Compared to the RCT study, the prospective single-arm cohort study allowed more lenient enrollment by eliminating the exclusion of patients using extended-release opioids and BMI >40.

Inclusion Criteria Exclusion Criteria
  • Skeletally mature patients with chronic (≥6 months) isolated lumbar back pain, who had not responded to at least 6 months of non-operative management

  • Type 1 or Type 2 Modic changes at one or more vertebral body for levels L3-S1

  • Minimum ODI of 30 points (100-point scale)

  • Minimum VAS of 4 ​cm (10 ​cm scale)

  • Ability to provide informed consent, read and complete questionnaires

  • MRI evidence of Modic changes at levels other than L3-S1

  • Radicular pain (defined as nerve pain following a dermatomal distribution and that correlates with nerve compression in imaging)

  • Previous lumbar spine surgery (discectomy/laminectomy allowed if ​> ​6 months prior to baseline and radicular pain resolved)

  • Symptomatic spinal stenosis (defined as the presence of neurogenic claudication and confirmed by imaging)

  • Metabolic bone disease, spine fragility fracture history, trauma/compression fracture, or spinal cancer

  • Spine infection, active systemic infection, bleeding diathesis

  • Radiographic evidence of other pain etiology
    • Disc extrusion or protrusion >5 ​mm
    • Spondylolisthesis >2 ​mm at any level
    • Spondylolysis at any level
    • Facet arthrosis/effusion correlated with facet-mediated LBP
  • Beck Depression Inventory >24 or 3 or more Waddell’s signs

  • Compensated injury or litigation

  • Currently taking extended-release opioids with addiction behaviorsa

  • BMI >40a

  • Bedbound or neurological condition that prevents early mobility or any medical condition that impairs follow-upa

  • Contraindication to MRI, allergies to components of the device, active implantable devices, pregnant or lactating

Abbreviations: MRI - magnetic resonance imaging; ODI - Oswestry Disability Index; VAS - Visual Analogue Scale (average low back pain in past 7 days); mm - millimeters; BMI - body mass index.

a

Exclusion criteria for the INTRACEPT trial only.