Prospective analysis of radiofrequency denervation in patients with chronic low back pain

Aransay, A.; Valladares, A Camblor; Muñoz, Roi Castro; Parrilla, Á R Piñera; Muñiz, Iván Pipa; Cuello, L. García; Negreira, J Mateo

doi:10.21037/jss-20-599

Cited by 3 publications

(8 citation statements)

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“…"Low back pain is currently an important health problem that represents a significant socioeconomic cost in Western societies and is associated with higher rates of disability than any other disorder. Although the majority of cases are successfully treated at the first level of care, it is estimated that around 15% become chronic, resisting conservative treatment (low back pain is considered chronic after 3 months)" [2]. "In Mexico, low back pain is a common problem that affects 80 out of every 100 people and 30% of people who suffer from low back pain in Mexico require disability.…”

Section: Introductionmentioning

confidence: 99%

“…Chronic low back pain originating in the facet joints was defined by Pérez-Cajaraville [10], as low back pain that radiates to the buttocks, groin or hips, non-specifically to the lower limbs but never to the feet. "This pain increases with prolonged standing and sitting, acute pain on palpation of the zygapophyseal joint (ZPJ), decreased lumbar mobility in all planes, especially lumbar spine extension and extension with lumbar rotation, negative neurological examination and Valsalva maneuver" [11].…”

Section: Introductionmentioning

confidence: 99%

“…"Within the management, rhizolysis, which is a minimally invasive treatment, is increasingly used for chronic low back pain. It consists of generating small lesions in the nerves responsible for transmitting painful impulses from the site where the low back pain originates to the central nervous system" [11].…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of the Multimodal and Multilevel Radiofrequency Nerve Ablation for the Management of Low Back Pain Chronic

Valadez,

Santoyo,

Lopez

2023

JAMMR

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Background: Low back pain is currently an important health problem that represents a significant socioeconomic cost in Western societies and is associated with higher rates of disability than any other disorder. Although most cases are treated successfully at the first level of care, it is estimated that around 15% become chronic, resisting conservative treatment. Aims: to know the analgesic effects by means of the "visual analog scale" and functional effects (oswestry) in patients submitted to radiofrequency, the aim is to know the incidence of low back pain secondary to facet syndrome in the traumatology service, as well as the effectiveness rate of the procedure as a therapeutic method for chronic low back pain. Study Design: retrospective cohort analytical observational study design. Place and Duration of Study: Sample: 48 patients with a diagnosis of lumbar facet syndrome treated by lumbar facet denervation (rhizolysis) by multimodal and multilevel radiofrequency between July 2021 and July 2022 at the Regional Military Hospital of specialties in Guadalajara, Jalisco were included. Methodology: Sample: We included data from the 48 patients who underwent radiofrequency facet denervation of the lumbar spine from L1 to L5, and their functional evolution was evaluated using the Oswestry Disability Index (ODI) and their analgesic evolution using the Visual Analog Scale (VAS). Results: Sample: Out of 48 patients, finding an average improvement of 5.6 ± 3.28 points in the visual analog pain scale and an improvement of 83.3% was obtained in patients with severe disability according to the Oswestry scale at 6 months of follow-up. There is a reduction of at least 3 points in VAS with a 50% reduction in pain and improvement in functional status. Effectiveness of 91.6% in the reduction of at least 16 points in ODI which represents the minimum score necessary to reduce 1 level of disability in the worst case scenario. Conclusion: The incidence of patients presenting to the orthopedic office with facet syndrome is 32.87%. Radiofrequency rhizolysis is an effective and safe treatment for the management of chronic low back pain in patients with facet syndrome, with a high rate of effectiveness and low rate of complications. The effectiveness of the treatment lies in the correct selection of the patient including clinical and imaging criteria and positive diagnostic block.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Efficacy of the Multimodal and Multilevel Radiofrequency Nerve Ablation for the Management of Low Back Pain Chronic

Valadez,

Santoyo,

Lopez

2023

JAMMR

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“…Low back pain (LBP) is one of the most common medical conditions. It can cause severe incapacity at the individual level and impact the workforce and the health care system at the societal level ( Abbasi et al, 2021 ; Aransay et al, 2020 ; Martín-Corrales et al, 2020 ). Much effort has been taken to study the mechanism underlying the pathogenesis of LBP and to improve its treatment ( Shi et al, 2020 ; Mera et al, 2021 ; Umimura et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Circular RNAs in Intervertebral Disc Degeneration: An Updated Review

Sun

et al. 2022

Front. Mol. Biosci.

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Low back pain, a common medical condition, could result in severe disability and inflict huge economical and public health burden. Its pathogenesis is attributed to multiple etiological factors, including intervertebral disc degeneration (IDD). Emerging evidence suggests that circular RNAs (circRNAs), a major type of regulatory non-coding RNA, play critical roles in cellular processes that are pertinent to IDD development, including nucleus pulposus cell proliferation and apoptosis as well as extracellular matrix deposition. Increasing number of translational studies also indicated that circRNAs could serve as novel biomarkers for the diagnosis of IDD and/or predicting its clinical outcomes. Our review aims to discuss the recent progress in the functions and mechanisms of newly discovered IDD-related circRNAs.

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“…Этот опросник применяется для измерения результатов консервативных и хирургических методов лечения, включая разные техники спондилодеза на поясничном уровне. Он упоминается как золотой стандарт во многих систематических обзорах [10][11][12] и руководствах по хирургии позвоночника [13], используется в многочисленных проспективных исследованиях [14,15] для разных периодов наблюдения. Версия ODI 2.1 утверждена на разных языках, включая валидизированный русский перевод анкеты (версия 2.1а) [16].…”

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Minimal clinically important difference as a method for assessing the effectiveness of spinal surgery using scales and questionnaires: non-systematic literature review

2022

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Objective. To analyze the literature data and to present recommendations on the use of the minimum clinically important difference (MCID) in the practice of spinal surgeon-researcher.Material and Methods. The article is a non-systematic review of the literature. A search was performed for sources, which describe the calculation and analysis of the MCID parameter on a cohort of patients with degenerative spinal diseases in the PubMed, Scopus and Web of Science databases. Further, the analysis of the literature was carried out on the application of MCID to assess the effectiveness of surgical treatment.Results. The MCID parameter is illustrated for the most common clinical scales used to assess the effectiveness of treatment in spinal surgery, with their detailed description and discussion of their benefits and drawbacks. The specific MCID values for cervical and lumbar pathologies, first of all degenerative ones, and follow-up periods, which can be used in assessing the results of the treatment, as well as in planning prospective comparative studies are presented.Conclusion. The MCID parameter is required for sample size calculation and for the analysis of treatment outcomes. The MCID reflects not just the change in the baseline indicator, but also the clinical significance for the patient.

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Prospective analysis of radiofrequency denervation in patients with chronic low back pain

Cited by 3 publications

References 25 publications

Efficacy of the Multimodal and Multilevel Radiofrequency Nerve Ablation for the Management of Low Back Pain Chronic

Efficacy of the Multimodal and Multilevel Radiofrequency Nerve Ablation for the Management of Low Back Pain Chronic

Circular RNAs in Intervertebral Disc Degeneration: An Updated Review

Minimal clinically important difference as a method for assessing the effectiveness of spinal surgery using scales and questionnaires: non-systematic literature review

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