Role of the sinu-vertebral nerve in low back pain and anatomical basis of therapeutic implications

Raoul, Sylvie; Faure, Alice; Robert, René; Rogez, J.-M.; Hamel, Olivier; Cuillère, P.; Borgne, J. Le

doi:10.1007/s00276-002-0084-8

Cited by 45 publications

(32 citation statements)

References 14 publications

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“…The L2 nerve root can therefore be expected to have very abundant rami communicantes which constitute the relay between the two systems, allowing autonomic fibres to transmit pain to consciousness via somatic fibres. Studies that we have conducted on this subject confirm the presence of numerous rami communicantes at L2 [1]. Finally, a concordance is observed between the predominance of a somatic nerve root and the abundant projection of autonomic impulses via the large number of rami communicantes, rungs of the ladder uniting the somatic and autonomic components of the nervous system.…”

Section: Discussionsupporting

confidence: 76%

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Is section of the sympathetic rami communicantes by laparoscopy in patients with refractory low back pain efficient?

Rigaud

Riant²,

Labat

et al. 2012

Eur Spine J

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Section: Discussionsupporting

confidence: 76%

“…It reaches the dorsal roots of L2 somatic spinal nerves via rami communicantes and finally ascends to the brain via somatic ascending pathways, especially the spinothalamic tract [1][2][3] (Figs. 1, 2).…”

Section: Introductionmentioning

confidence: 99%

Is section of the sympathetic rami communicantes by laparoscopy in patients with refractory low back pain efficient?

Rigaud

Riant²,

Labat

et al. 2012

Eur Spine J

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“…Ability to advance the epiduroscope outside the neuroforamen, keeping the scope in close proximity to the superior aspect of the pedicle on fluoroscopy, was an accurate predictor of a good outcome, and this maneuver may play an important role in the treatment of low back and leg pain. 23,24…”

Section: Selective Epidurographymentioning

confidence: 99%

Lumbosacral Epiduroscopy Findings Predict Treatment Outcome

Bosscher

Heavner

2013

Pain Practice

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“…Disc pain can occur as a result of genetic implications, together with degenerative marks and start at an early age (Boos et al, 2002;Hurri and Karppinen, 2004;Rajasekaran et al, 2004;Helm et al, 2009;Zhang et al, 2009). Low back disc pain uses the sympathetic nervous system; pain impulses coming from the intervertebral disc join the L2 spinal ganglion via the rami communicantes and the sympathetic trunk (Groen et al, 1990;Raoul et al, 2003). In patients with chronic lumbar disc pain, symptoms can show no improvement over time (Peng et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

Randomized sham‐controlled, double‐blind, multicenter clinical trial on the effect of percutaneous radiofrequency at the ramus communicans for lumbar disc pain

Tilburg

Stronks

Groeneweg

et al. 2016

European Journal of Pain

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BackgroundInvestigate the effect of percutaneous radiofrequency compared to a sham procedure, applied to the ramus communicans for treatment of lumbar disc pain.MethodsRandomized sham‐controlled, double‐blind, crossover, multicenter clinical trial. Multidisciplinary pain centres of two general hospitals. Sixty patients aged 18 or more with medical history and physical examination suggestive for lumbar disc pain and a reduction of two or more on a numerical rating scale (0–10) after a diagnostic ramus communicans test block. Treatment group: percutaneous radiofrequency treatment applied to the ramus communicans; sham: same procedure except radiofrequency treatment. Primary outcome measure: pain reduction. Secondary outcome measure: Global Perceived Effect.ResultsNo statistically significant difference in pain level over time between the groups, as well as in the group was found; however, the factor period yielded a statistically significant result. In the crossover group, 11 out of 16 patients experienced a reduction in NRS of 2 or more at 1 month (no significant deviation from chance). No statistically significant difference in satisfaction over time between the groups was found. The independent factors group and period also showed no statistically significant effects. The same applies to recovery: no statistically significant effects were found.ConclusionsThe null hypothesis of no difference in pain reduction and in Global Perceived Effect between the treatment and sham group cannot be rejected. Post hoc analysis revealed that none of the investigated parameters contributed to the prediction of a significant pain reduction.SignificanceInterrupting signalling through the ramus communicans may interfere with the transition of painful information from the discs to the central nervous system. Methodological differences exist in studies evaluating the efficacy of radiofrequency treatment for lumbar disc pain. A randomized, sham‐controlled, double‐blind, multicenter clinical trial on the effect of radiofrequency at the ramus communicans for lumbar disc pain was conducted. The null hypothesis of no difference in pain reduction and in Global Perceived Effect between the treatment and sham group cannot be rejected.

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Role of the sinu-vertebral nerve in low back pain and anatomical basis of therapeutic implications

Cited by 45 publications

References 14 publications

Is section of the sympathetic rami communicantes by laparoscopy in patients with refractory low back pain efficient?

Is section of the sympathetic rami communicantes by laparoscopy in patients with refractory low back pain efficient?

Lumbosacral Epiduroscopy Findings Predict Treatment Outcome

Randomized sham‐controlled, double‐blind, multicenter clinical trial on the effect of percutaneous radiofrequency at the ramus communicans for lumbar disc pain

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