Comparison of alcohol ablation with repeated thermal radiofrequency ablation in medial branch neurotomy for the treatment of recurrent thoracolumbar facet joint pain

Joo, Young-Chan; Park, Ju Yeon; Kim, Kyung-Hoon

doi:10.1007/s00540-012-1525-0

Cited by 26 publications

(16 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The results are equivalent or even superior to previous non-controlled studies with monopolar RF, which have reported success rates between 40% and 80% [12][13][14]. A randomised, controlled study comparing monopolar RF neurotomy to alcohol ablations, reported an average effective period of 10, 7 months for the RF group, while the duration of 50% pain relief was not described [7].…”

supporting

confidence: 51%

“…Although the Spine Intervention Society (SIS) has developed detailed guidelines for medial branch blocks and RF neurotomy, they so far only include RF interventions at the cervical and lumbar levels [5]. The clinical evidence of thermal RF neurotomy to thoracic medial branches is still limited, rated to level III [6], based on one single, randomised, controlled trial [7].…”

mentioning

confidence: 99%

See 1 more Smart Citation

Bipolar radiofrequency neurotomy for spinal pain – a promising technique but still some steps to go

Kvarstein

Lundeland

2018

Scandinavian Journal of Pain

View full text Add to dashboard Cite

supporting

confidence: 51%

mentioning

confidence: 99%

Bipolar radiofrequency neurotomy for spinal pain – a promising technique but still some steps to go

Kvarstein

Lundeland

2018

Scandinavian Journal of Pain

View full text Add to dashboard Cite

“…Assessment of function in studies of chronic low back pain is vital given that this condition is the leading causes of disability and work absenteeism in the U. S. [ 1 , 2 ]. The finding of functional improvement in a large proportion of this cohort (58%) is particularly notable given the mixed results and shorter duration of follow-up of functional outcome measurement in prior studies [ 9 – 11 , 14 , 16 – 18 ].…”

Section: Discussionmentioning

confidence: 80%

Long-Term Function, Pain and Medication Use Outcomes of Radiofrequency Ablation for Lumbar Facet Syndrome

McCormick

Marshall

Walker

et al. 2015

Int J Anesthetic Anesthesiol

View full text Add to dashboard Cite

Objective-Radiofrequency ablation (RFA) of the medial branch nerves for facet-mediated low back pain demonstrates clinical benefit for 6-12 months and possibly up to 2 years. This study investigated function, pain, and medication use outcomes of RFA for lumbar facet syndrome in a cohort with long-term follow-up.Methods-Individuals evaluated in a tertiary academic pain practice between January, 2007-December, 2013, 18-60 years of age, with a clinical and radiologic diagnosis of lumbar facet syndrome, who underwent ≥1set of diagnostic medial branch blocks with resultant >75% pain relief and subsequent RFA were included. Outcomes measured were the proportion of individuals who reported ≥50% improvement in function, ≥50% improvement in pain; change in median NRS pain score, daily morphine equivalent consumption (DME), Medication Quantification Scale III (MSQ III) score and procedure complications.Results-Sixty-two consecutive individuals with a median age and 25%-75% interquartile range (IQR) of 34 years (35, 52) met inclusion criteria. Seven individuals were lost to follow-up. Duration of pain was <2 years in 42%, 2-5 years in 40%, >5 years in 18% of individuals. Median duration of follow-up was 39 months (16, 60). Function and pain improved by ≥50% in 58% (CI 45%, 71%) and 53% (CI 40%, 66%) of individuals, respectively. The median reduction in MQS III score was 3.4 points (0, 8.8). No complications occurred in this cohort.Conclusions-This study demonstrates a durable treatment effect of RFA for lumbar facet syndrome at long-term follow-up, as measured by improvement in function, pain, and analgesic use.

show abstract

“…There is a concurrent improvement in function with pain reduction (MSQ III score) [40] with variations in analgesic usage with radiofrequency ablation [35]. Some studies had a shorter duration of follow up [36]. Cohen, et al in a case-control study showed that medial branch blocks had better outcomes with radiofrequency ablation compared with IA blocks when used as a test before denervation [19].…”

Section: Technical Challengementioning

confidence: 99%

“…Radiofrequency denervation has shown to improve function, pain and analgesic use for 6-12 months [36]. Other studies have documented follow up of up to 3 years [37].…”

Section: One Block Vs Two Blocks Before Denervationmentioning

confidence: 99%

Untitled

2019

J Musculoskelet Disord Treat

View full text Add to dashboard Cite

persists for ≥ 3 months. These acute episodes develop into chronic low back pain (persists more than 3 months) in 8-12% of patients [3]. 85% are non-specific low back pain not attributable to a specific pathology (fracture, infection, osteoporosis, tumour) [4]. Goldthwait, in 1911, was the first to suggest that facet joint could be a source of low back pain. The potential of the zygapophyseal joint as a unique source of lumbar pain has been demonstrated in several histological studies [5]. But interestingly, it was not until 1933, the term "facet syndrome" was used by Ghormley to describe the condition. Pathophysiology This condition is associated with osteoarthritis with the pain originating from the synovium, cartilage and capsule of the facet joint [6]. Two medial branches of the primary dorsal rami (nerve of Luschka) of each spinal nerve innervate a facet joint [7]. The joints are covered by nociceptors with free and encapsulated nerve terminations that contain substance P [8]. It is this facet joint capsule degeneration that is described as "facet syndrome" or "zygapophysial joint pain". Cadaveric studies show that facet arthrosis is present in 100% of the specimens older than 60 years [9]. Eubanks, et al. argue that 57% of patient above the age of 30 years have facet arthrosis [10]. Clinical Tests There are different clinical tests for facet joint pain described in the literature but none of these can reliably distinguish it from other sources of pain. Imaging

show abstract

Comparison of alcohol ablation with repeated thermal radiofrequency ablation in medial branch neurotomy for the treatment of recurrent thoracolumbar facet joint pain

Cited by 26 publications

References 11 publications

Bipolar radiofrequency neurotomy for spinal pain – a promising technique but still some steps to go

Bipolar radiofrequency neurotomy for spinal pain – a promising technique but still some steps to go

Long-Term Function, Pain and Medication Use Outcomes of Radiofrequency Ablation for Lumbar Facet Syndrome

Untitled

Contact Info

Product

Resources

About