Abstract
Introduction: Chronic mechanical low back pain (CMLBP) can be caused by impaired neuromuscular control and degeneration of the multifidus muscles resulting in functional instability of the lumbar spine. Available treatment options often lack long-term effectiveness and prognosis is unfavourable. An implantable Restorative Neurostimulation system (ReActiv8® by Mainstay Medical), that stimulates the L2 medial branches of the dorsal rami to reactivate neuromuscular control, received FDA Premarket Approval based on evidence from the ReActiv8-B pivotal trial (clinicaltrials.gov/show/NCT02577354).
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