ISSN: 1859 - 2872
Radiofrequency lumbar facet joints denervation and transforalminal steroid injection in the treatment of chronic low back pain
Main Article Content
Keywords
Abstract
Objective: The aim of the study was to evaluate the efficacy of combination two procedures: radiofrequency facet joint denervation and transforaminal steroid injection for the treatment of patients with chronic low back pain and radiculopathy at Neurosurgery Department, University Medical Center HCMC. Subject and method: Non-randomized intervention study of 40 patients with chronic low back pain and radiculopathy treated by a percutaneous radiofrequency denervation and transforaminal steriod injection from 02/2020 to 02/2022 at Neurosurgery Department, University Medical Center in Ho Chi Minh city. Result: At 1 week, 4 weeks and 12 weeks post-procedure follow-up, the VAS score (5 ± 1.3, 3.4 ± 1.3, and 3.1 ± 1) were significantly lower than pre-procedure VAS score (7.2 ± 0.7). Post-procedure ODI at 4 weeks (31.4 ± 9.2) and 12 weeks (25.5 ± 8.4) were significantly better than pre-procedure (60.4 ± 10.3). One transient motor weekness was observed in the study. Conclusion: Radiofrequency facet denervation could be use as a efficiency and safety method in the treatment of carefully selected patients with the chronic low back pain.
Article Details
References
2. Leclaire R, Fortin L, Lambert R, Bergeron YM, Rossignol M (2001) Radiofrequency facet joint denervation in the treatment of low back pain: A placebo-controlled clinical trial to assess efficacy. Spine (Phila Pa 1976) 26(13): 1411-1416; discussion 1417.
3. Martin WJ, Ashton-James CE, Skorpil NE, Heymans MW, Forouzanfar T (2013) What constitutes a clinically important pain reduction in patients after third molar surgery?. Pain Research & Management 18(6): 319-322.
4. Nath S, Nath CA, Pettersson K (2008) Percutaneous lumbar zygapophysial (Facet) joint neurotomy using radiofrequency current, in the management of chronic low back pain: A randomized double-blind trial. Spine (Phila Pa 1976) 33(12): 1291-1297.
5. Ramsis FG, Thomas Zi (2018) Transforaminal epidural steroid injection can result in further neurological injury in a patient with severe foraminal stenosis and nerve impingement. Surg Neurol Int9: 159.
6. Tekin I, Mirzai H, Ok G, Erbuyun K, Vatansever D (2007) A comparison of conventional and pulsed radiofrequency denervation in the treatment of chronic facet joint pain. Clinical Journal of Pain 23(6): 524-529.
7. Van Wijk RM, Geurts JW, Wynne HJ, Hammink E, et al (2005) Radiofrequency denervation of lumbar facet joints in the treatment of chronic low back pain: A randomized, double-blind, sham lesion-controlled trial. The Clinical Journal of Pain 21(4): 335-344.
8. Weishaupt D, Zanetti M, Boos N, Hodler J (1999) MR imaging and CT in osteoarthritis of the lumbar facet joints. Skeletal Radiology 28(4): 215-219.
Article Sidebar
