Radiofrequency ablation of the sacral lateral branches

Bruce Vrooman MD, MS, FIPP, Victor Foorsov MD
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Abstract

The objective of this article is to recommend an approach to radiofrequency ablation (RFA) of the sacral lateral branches that is safe, effective, and simple to perform. To do so, one must identify the proper patient, perform a diagnostic block to confirm the sacroiliac joint as the pain generator, and then, after 2 successful blocks, move to RFA of the sacral lateral branches as the next step in treatment. The choice of an RFA technique is controversial. Here, an argument is made for moving to bipolar RFA of the lateral branches of S1-S3. If pain is refractory, then cooled RFA may be an appropriate next step in care.

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骶骨外侧分支的射频消融
本文的目的是推荐一种安全、有效且操作简单的骶骨外侧分支射频消融(RFA)方法。要做到这一点,必须确定合适的病人,进行诊断阻断以确认骶髂关节是疼痛的产生者,然后,在两次成功的阻断后,将骶骨外侧分支的射频消融作为下一步治疗。RFA技术的选择是有争议的。在这里,我们提出了一个论点,即移动到双极RFA的S1-S3侧分支。如果疼痛是难治性的,那么冷却RFA可能是适当的下一步护理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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