Traditional versus cooled-radiofrequency neurotomy for the treatment of chronic lumbar facet (zygapophyseal) joint pain.

IF 1.4 Q4 CLINICAL NEUROLOGY Pain management Pub Date : 2024-06-02 Epub Date: 2024-07-30 DOI:10.1080/17581869.2024.2377061
Burcu Candan, Semih Gungor
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Abstract

Aim: Traditional radiofrequency ablation (TRFA) effectively treats facet joint-related pain, while water-cooled radiofrequency ablation (CRFA) may offer benefits like larger lesions and easier nerve access. Our goal is to assess the effectiveness of TRFA and CRFA for facet joint-related pain.Materials & methods: This retrospective study included an evaluation of 346 RFA interventions performed on 190 patients suffering from long-term low-back pain. The primary outcome was defined as a decrease of ≥50% of the mean numeric rating scale.Results: The primary outcome was achieved at the first follow-up (FU) for both TRFA and CRFA, with pain relief of 55.2 and 60.5%, respectively. At the second FU, the primary outcome was achieved only in the CRFA group (54.1%), although the TRFA group also showed a good improvement (48.6%). In both groups, pain relief was under 50% during the third FU.Conclusion: Our study indicates that both CRFA and TRFA modalities are effective and safe treatments.

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治疗慢性腰椎面(颧骨)关节疼痛的传统方法与冷却射频神经切断术的比较。
目的:传统射频消融术(TRFA)可有效治疗面关节相关疼痛,而水冷射频消融术(CRFA)则可提供更大的病灶和更容易的神经通路等优势。我们的目标是评估 TRFA 和 CRFA 治疗面关节相关疼痛的效果。材料和方法:这项回顾性研究对 190 名长期腰背痛患者进行的 346 次 RFA 干预进行了评估。主要结果定义为平均数字评分表下降≥50%。研究结果TRFA和CRFA在首次随访(FU)时均达到了主要结果,疼痛缓解率分别为55.2%和60.5%。在第二次随访中,只有 CRFA 组(54.1%)达到了主要结果,尽管 TRFA 组也有很好的改善(48.6%)。在第三个疗程中,两组的疼痛缓解率均低于 50%。结论我们的研究表明,CRFA 和 TRFA 方法都是有效且安全的治疗方法。
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来源期刊
Pain management
Pain management CLINICAL NEUROLOGY-
CiteScore
2.90
自引率
5.90%
发文量
62
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