Pulsed radiofrequency in the management of lumbar radicular pain: initial experience

IF 0.7 Q4 CLINICAL NEUROLOGY Egyptian journal of neurosurgery Pub Date : 2023-10-16 DOI:10.1186/s41984-023-00223-y
Hosam Eldin Abdel Azim Habib, Sameh Fathy Abdo, Ahmed Gabry El Nagar
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Abstract

Abstract Background Lumbar radicular pain (LRP) is one of the most encountered complaints in neurosurgical practice that pose a challenge in its management as adequate pain control, which is not always achieved. Objective The aim of this study was to evaluate the role of pulsed radiofrequency as a minimally invasive tool in the management of lumbar radicular pain of lumbar discogenic origin. Methods This is a prospective study that included 20 patients with lumbar radicular pain with radiological evidence of lumbar disc prolapse, who have been subjected to pulsed radiofrequency. Results The mean preoperative visual analogue score was 71 ± 14.38 dropped to a mean of 43.5 ± 21.47 at six-month follow-up. Seventy percentage of the study population had a satisfactory outcome, which did not correlate with the age, sex, or body mass index of the patients. Conclusions Pulsed radiofrequency is a safe and useful tool that may be used in the management of lumbar radicular pain.
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脉冲射频治疗腰神经根性疼痛:初步经验
背景腰椎神经根性疼痛(LRP)是神经外科实践中最常见的疾病之一,对其管理提出了挑战,因为足够的疼痛控制并不总是能够实现。目的本研究的目的是评估脉冲射频作为一种微创工具在腰椎间盘源性腰根性疼痛治疗中的作用。方法:这是一项前瞻性研究,包括20例有腰椎间盘突出放射学证据的腰神经根性疼痛患者,他们接受了脉冲射频治疗。结果术前视觉模拟评分平均值为71±14.38,随访6个月后降至43.5±21.47。70%的研究人群获得了满意的结果,这与患者的年龄、性别或体重指数无关。结论脉冲射频治疗是一种安全有效的治疗腰神经根性疼痛的方法。
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