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Skeletally mature patients with chronic (≥6 months) isolated lumbar back pain, who had not responded to at least 6 months of non-operative management
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Type 1 or Type 2 Modic changes at one or more vertebral body for levels L3-S1
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Minimum ODI of 30 points (100-point scale)
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Minimum VAS of 4 cm (10 cm scale)
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Ability to provide informed consent, read and complete questionnaires
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MRI evidence of Modic changes at levels other than L3-S1
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Radicular pain (defined as nerve pain following a dermatomal distribution and that correlates with nerve compression in imaging)
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Previous lumbar spine surgery (discectomy/laminectomy allowed if > 6 months prior to baseline and radicular pain resolved)
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Symptomatic spinal stenosis (defined as the presence of neurogenic claudication and confirmed by imaging)
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Metabolic bone disease, spine fragility fracture history, trauma/compression fracture, or spinal cancer
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Spine infection, active systemic infection, bleeding diathesis
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Radiographic evidence of other pain etiology
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Disc extrusion or protrusion >5 mm
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Spondylolisthesis >2 mm at any level
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Spondylolysis at any level
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Facet arthrosis/effusion correlated with facet-mediated LBP
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Beck Depression Inventory >24 or 3 or more Waddell’s signs
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Compensated injury or litigation
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Currently taking extended-release opioids with addiction behaviorsa
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BMI >40a
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Bedbound or neurological condition that prevents early mobility or any medical condition that impairs follow-upa
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Contraindication to MRI, allergies to components of the device, active implantable devices, pregnant or lactating
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