Low Back Pain and Radiofrequency Denervation of Facet Joint: Beyond Pain Control—A Video Recording

Giglio, Mariateresa; Farì, Giacomo; Preziosa, Angela; Corriero, Alberto; Grasso, Salvatore; Varrassi, Giustino; Puntillo, Filomena

doi:10.1007/s40122-023-00489-y

Cited by 2 publications

(1 citation statement)

References 23 publications

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“…Research by Enrico Ballestra et al suggested that the effectiveness of conservative treatment in patients is correlated with the patients' subjective experiences during the treatment process [24]. In addition, radiofrequency, as a minimally invasive surgical technique, has been proven to provide significant relief from lower back pain caused by degenerative lumbar conditions [25,26]. However, for patients with surgical indications, surgical treatment remains the most effective method for alleviating symptoms of degenerative lumbar diseases.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Lumbar Degenerative Disease with a Novel Interlaminar Screw Elastic Spacer Technique: A Finite Element Analysis

Huang,

Liu,

Nie

et al. 2023

Bioengineering

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A novel interlaminar elastic screw spacer technique was designed to maintain lumbar mobility in treating lumbar degenerative diseases. A validated finite element model of L4/5 was used to establish an ISES-1/2 model and an ISES-1/3 model based on different insertion points, a unilateral fixation model and a bilateral fixed model based on different fixation methods, and a Coflex-F model based on different implants. The elastic rods were used to fix screws. Under the same mechanical conditions, we compared the biomechanical characteristics to investigate the optimal entry point for ISES technology, demonstrate the effectiveness of unilateral fixation, and validate the feasibility of the ISES technique. Compared to ISES-1/3, the ISES-1/2 model had lower intradiscal pressure, facet cartilage stress, and posterior structural stress. Compared to the ISES-BF model, the ISES-UF model had lower intervertebral pressure, larger mobility, and smaller stress on the posterior structures. The ISES model had a similar intervertebral pressure and limitation of extension as the Coflex-F model. The ISES model retained greater mobility and reduced the stress on the facet cartilage and posterior structure compared with the Coflex-F model. Our study suggests that the ISES technique is a promising treatment of lumbar degenerative diseases, especially those with osteoporosis.

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Section: Discussionmentioning

confidence: 99%

Treatment of Lumbar Degenerative Disease with a Novel Interlaminar Screw Elastic Spacer Technique: A Finite Element Analysis

Huang,

Liu,

Nie

et al. 2023

Bioengineering

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How to Evaluate the Efficacy of Manipulations in Spine Disorders—A Comprehensive Review of New and Traditional Outcome Measures

Farì,

Mariconda,

Dell’Anna

et al. 2024

Clinics and Practice

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Spine pain (SP) is the most common musculoskeletal disorder that causes transitional forms of motor disability. Considering its affordability and safety, manipulative therapy (MT) stands as one of the primary therapeutic approaches for SP and the related dysfunctional consequences. However, it is still difficult to assess and quantify the results of this treatment since there is a lack of objective evaluation tools in the available scientific literature. Thus, the purpose of this comprehensive review is to summarize the main outcomes used to evaluate the effectiveness of spine manipulations, focusing on their strengths and weaknesses. An extensive review of the PubMed, Cochrane, and Embase databases was performed to identify the literature of the last ten years regarding MT and the related assessment tools. A total of 12 studies met the inclusion criteria. The analyzed literature indicates that a wide range of outcome measures have been used to assess the effectiveness of spine MT. Pain is the main aspect to be investigated but it remains difficult to elucidate since it is strongly linked to various dimensions such as self-perception and psychological aspects. Therefore, it seems necessary to include new tools for evaluating the effects of spine MT, with the aim of exploiting new technologies and taking into consideration the SP biomechanical and biopsychosocial aspects.

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Low Back Pain and Radiofrequency Denervation of Facet Joint: Beyond Pain Control—A Video Recording

Cited by 2 publications

References 23 publications

Treatment of Lumbar Degenerative Disease with a Novel Interlaminar Screw Elastic Spacer Technique: A Finite Element Analysis

Treatment of Lumbar Degenerative Disease with a Novel Interlaminar Screw Elastic Spacer Technique: A Finite Element Analysis

How to Evaluate the Efficacy of Manipulations in Spine Disorders—A Comprehensive Review of New and Traditional Outcome Measures

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