Radiofrequency lumbar facet denervation: A comparative study of the reproducibility of lesion size after 2 current radiofrequency techniques

Buijs, Evert J.; Wijk, Roelof Van; Geurts, José W.; Weeseman, Rolf R.; Stolker, Robert Jan; Groen, Gerbrand G.

doi:10.1016/j.rapm.2004.06.004

Cited by 23 publications

(24 citation statements)

References 21 publications

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“…6,7,26 However, our study provides further details on lesion growth over time that have not been previously reported. First, a substantial amount of lesion growth occurs by the time that the RF cannula reaches set temperature (greater than 40% of the mean maximum surface area size is achieved).…”

Section: Discussionmentioning

confidence: 71%

The Interaction Between the Composition of Preinjected Fluids and Duration of Radiofrequency on Lesion Size

Provenzano¹,

Watson²,

Somers³

2015

Regional Anesthesia and Pain Medicine

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Section: Discussionmentioning

confidence: 71%

The Interaction Between the Composition of Preinjected Fluids and Duration of Radiofrequency on Lesion Size

Provenzano¹,

Watson²,

Somers³

2015

Regional Anesthesia and Pain Medicine

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“…A 50% or greater improvement in pain as criteria for a successful diagnostic medial branch block has also been used by other investigators [93–98]. Studies that employed diagnostic intra-articular blocks as apposed to medial branch blocks have also used similar criteria of 50% or greater improvement of pain [99, 100, 107]. However, others have suggested that a more strict definition of a confirmatory block is necessary to avoid performing radiofrequency denervation on patients who may have low back pain of other etiologies.…”

Section: Diagnosismentioning

confidence: 99%

The provocative lumbar facet joint

Binder

Nampiaparampil

2009

Curr Rev Musculoskelet Med

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Low back pain is the most common pain symptom experienced by American adults and is the second most common reason for primary care physician visits. There are many structures in the lumbar spine that can serve as pain generators and often the etiology of low back pain is multifactorial. However, the facet joint has been increasingly recognized as an important cause of low back pain. Facet joint pain can be diagnosed with local anesthetic blocks of the medial branches or of the facet joints themselves. Subsequent radiofrequency lesioning of the medial branches can provide more long-term pain relief. Despite some of the pitfalls associated with facet joint blocks, they have been shown to be valid, safe, and reliable as a diagnostic tool. Medial branch denervation has shown some promise for the sustained control of lumbar facet joint-mediated pain, but at this time, there is insufficient evidence that it is a wholly efficacious treatment option. Developing a universal algorithm for evaluating facet joint-mediated pain and standard procedural techniques may facilitate the performance of larger outcome studies. This review article provides an overview of the anatomy, pathophysiology, diagnosis, and treatment of facet joint-mediated pain.

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“…Monopolar conventional RFA was used in 6 of 16 observational studies . Two studies were prospective in design .…”

Section: Resultsmentioning

confidence: 99%

Radiofrequency Ablation for Posterior Sacroiliac Joint Complex Pain: A Narrative Review

Yang

McCormick

Zheng

et al. 2019

PM&R

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Radiofrequency ablation (RFA) of the sacral lateral branches targets the innervation of the posterior sacroiliac ligaments and posterior portion of the sacroiliac joint, also referred to as the posterior sacroiliac joint complex. This review assesses the published evidence on local anesthetic blocks for the diagnosis of posterior sacroiliac joint complex pain and the efficacy of RFA of the sacral lateral branches as a treatment. The current evidence suggests that RFA can provide relief of pain that originates from the posterior sacroiliac joint complex, but interpretation of this literature is limited by variability in patient selection criteria, the specific nerves targeted for ablation, and the types of RFA technology and technique utilized.

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Radiofrequency lumbar facet denervation: A comparative study of the reproducibility of lesion size after 2 current radiofrequency techniques

Abstract: There is no consistent relation between voltage and the temperature obtained during radiofrequency lumbar facet denervation. Temperature-controlled radiofrequency lesioning is preferred to create reproducible lesion sizes.

Cited by 23 publications

References 21 publications

The Interaction Between the Composition of Preinjected Fluids and Duration of Radiofrequency on Lesion Size

The Interaction Between the Composition of Preinjected Fluids and Duration of Radiofrequency on Lesion Size

The provocative lumbar facet joint

Radiofrequency Ablation for Posterior Sacroiliac Joint Complex Pain: A Narrative Review

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