Radiofrequency Intradiscal Biacuplasty for Treatment of Discogenic Lower Back Pain: A 12-Month Follow-Up

Kapural, Leonardo; Vrooman, Bruce; Sarwar, Sheryar; Križanac-Bengez, Ljiljana; Rauck, Richard; Gilmore, Christopher; North, James; Mekhail, Nagy

doi:10.1111/pme.12595

Cited by 26 publications

(18 citation statements)

References 18 publications

(28 reference statements)

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“…The majority of publications examining standard RFA (SRFA) for patients with this indication conclude follow‐up at or before 6 months, consistent with the anticipated known effect for SRFA . In addition, twelve‐month analgesia utilizing CRFA has been previously described for painful conditions in the back . Ho et al previously suggested that CRFA can provide analgesic effect for 24 months when used to treat painful sacroiliac joints, and data from this series continues to support that concept …”

Section: Discussionsupporting

confidence: 65%

“…Cooled radiofrequency ablation (CRFA) has been shown to provide at least 12 months of relief for painful conditions of the spine, and has recently emerged as a minimally invasive option for pain control in patients with OA of the knee . An initial report by Bellini suggested CRFA can provide 12 months of analgesia when used in this patient population .…”

Section: Introductionmentioning

confidence: 99%

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Cooled Radiofrequency Ablation Treatment of the Genicular Nerves in the Treatment of Osteoarthritic Knee Pain: 18‐ and 24‐Month Results

Hunter

Davis

Loudermilk³

et al. 2019

Pain Practice

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Objective The primary objective of this observational, prospective, multicenter study was to evaluate the long‐term outcomes, including pain, function, and perceived effect of treatment, in subjects undergoing cooled radiofrequency ablation (CRFA) who have pain due to osteoarthritis (OA) of the knee. Methods This analysis included a subset of subjects previously enrolled in a prospective, multicenter randomized study comparing the safety and effectiveness of CRFA and intra‐articular steroid injection in patients with knee OA through 12 months who were contacted to participate in this extension study. Subjects were enrolled if they agreed to participate in up to 2 additional follow‐ups, at 18 and 24 months. Results Eighty‐three subjects from the 5 participating sites underwent CRFA during the original study and were contacted for this extension study. Of the 33 subjects enrolled, 25 were evaluated at 18 months after CRFA treatment, and their mean numeric rating scale (NRS) score was 3.1 ± 2.7, with 12 subjects reporting ≥50% pain relief compared to baseline. At 24 months, 18 subjects reported a mean NRS score of 3.6 ± 2.8, with 11 demonstrating ≥50% pain relief. Functional improvement as measured by the Oxford Knee Score continued to be present, with an overall mean change from baseline of 26.0 ± 9.6 points at 18 months and 29.9 ± 10.4 points at 24 months. Conclusion In this subset of subjects from a randomized controlled trial, CRFA provided sustained pain relief, improved function, and perceived positive effect through 24 months for subjects with OA knee pain with no safety concerns identified.

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Section: Discussionsupporting

confidence: 65%

Section: Introductionmentioning

confidence: 99%

Cooled Radiofrequency Ablation Treatment of the Genicular Nerves in the Treatment of Osteoarthritic Knee Pain: 18‐ and 24‐Month Results

Hunter

Davis

Loudermilk³

et al. 2019

Pain Practice

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“…IDRFT procedures were discussed in 3 of the reviewed trials. Kapural et al [31] found a significant benefit in pain reduction, function, and disability at 6 months in patients with single level discogenic pain who received IDRFB compared with sham [30]. However, in another RCT, Barendse showed no benefit of IDRFT vs. sham.…”

Section: Discussionmentioning

confidence: 94%

“…Additional studies have evaluated the effectiveness of Intradiscal ablative procedures including electrothermal [21][22][23] and radiofrequency thermocoagulation [24 •• , 25 •• , [26][27][28], anuloplasty [29], biacuplasty [30][31][32], and coblation [33] in reducing discogenic LBP. Of these trials, 6 were randomized controlled trials.…”

Section: Ablative Proceduresmentioning

confidence: 99%

A Systematic Review of Available Treatments for Discogenic Low Back Pain

Lucas

Stewart

Mattie

et al. 2016

Curr Phys Med Rehabil Rep

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Discogenic pain is a known cause of low back pain (LBP). There are several proposed minimally invasive treatments in the literature including: percutaneous laser disc decompression, multiple radiofrequency thermocoagulation/ablative techniques, and intradiscal injection of varying medications. The body of literature suffers significantly from patient heterogeneity due to a lack of stringent inclusion criteria. Additional concerns in the literature include random follow-up times, variability in reported results, and non-reproducibility of findings. Collectively, these flaws significantly limit the conclusions that can be made regarding treating those with suspected discogenic pain. Despite this, the article will review the published literature to date on the interventional procedures for patients with suspected discogenic LBP.

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“…Significant improvement was observed in physical function, pain, and disability at 6 months when compared with sham treatment . However, this beneficial effect was later lost, as the 12‐month data failed to show a statistically significant difference in outcomes between the two groups .…”

Section: Interventional Options For Diagnosis and Treatment Of Low Bamentioning

confidence: 97%

Interventional Therapies for Chronic Low Back Pain

Veizi

Hayek

2014

Neuromodulation: Technology at the Neural Interface

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Radiofrequency Intradiscal Biacuplasty for Treatment of Discogenic Lower Back Pain: A 12-Month Follow-Up

Abstract: Clinically significant improvements after IDB initially reported at 6 months were maintained at 9 and 12 months. The cross-over subjects had similar improvement in all outcome measures at all observed time points.

Cited by 26 publications

References 18 publications

Cooled Radiofrequency Ablation Treatment of the Genicular Nerves in the Treatment of Osteoarthritic Knee Pain: 18‐ and 24‐Month Results

Cooled Radiofrequency Ablation Treatment of the Genicular Nerves in the Treatment of Osteoarthritic Knee Pain: 18‐ and 24‐Month Results

A Systematic Review of Available Treatments for Discogenic Low Back Pain

Interventional Therapies for Chronic Low Back Pain

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