The role of radiofrequency in the treatment of mechanical pain of spinal origin

Pevsner, Y.; Shabat, Shay; Catz, Amiram; Folman, Yoram; Gepstein, Reuven

doi:10.1007/s00586-003-0605-0

Cited by 30 publications

(13 citation statements)

References 22 publications

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“…Those findings were in contrast with other studies, where surgery did not influence the results [21,22]. According to our first analysis, previous surgery seemed to be a negative predictor, but the bivariate analysis showed that this was probably due to depression as comorbidity.…”

Section: Discussioncontrasting

confidence: 99%

Factors determining the success of radiofrequency denervation in lumbar facet joint pain: a prospective study

et al. 2011

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Background and aims Radiofrequency denervation (RF) of the lumbar facet joints has been shown to be effective in well-selected patients. However, long-term success varies between studies. We evaluated the influence of selected psychosocial and constitutional factors on the outcome of RF, expressed as the duration of pain relief. Methods This prospective observational study included 44 patients who received RF denervations at the University Hospital of Berne. Success was defined as at least 50% pain reduction 7-21 days, 6 months and 1 year after RF therapy. The Cox-regression analysis was performed to evaluate the influence of the following factors on the duration of success: age, sex, depression, work inability and previous surgery. Results Complete follow-up was available for 41 patients. The success rate 7-21 days after the denervation was 76%. It decreased to 32% at 6 months and to 22% at 1 year. The median success duration was 17 weeks (95% CI 10-26). The Cox-regression analysis showed a significant shorter duration of success for patients with depression (hazard ratio [HR] 2.97, 95% CI 1.32-6.65), previous surgery (HR 2.39, 95% CI 1.10-5.21) and number of treated joints (HR 1.95 for each increase in the number of joints, 95% CI 1.14-3.33). In bivariate analyses, only depression was kept to be significant.Conclusions Depression seems to be related with a short duration of success. Based on these findings, a comprehensive study is warranted to evaluate whether psychosocial factors have to be considered when recruiting patients for radiofrequency denervation.

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Section: Discussioncontrasting

confidence: 99%

Factors determining the success of radiofrequency denervation in lumbar facet joint pain: a prospective study

et al. 2011

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“…The setup of our study does not permit a comparison with the results of CRF for the same procedure, other than the detection of an obvious trend. When comparing our results with various studies on CRF of the medial branch [9][10][11][14][15][16] such a trend could not be found. We have therefore not changed our policy of using PRF for this procedure.…”

Section: Discussioncontrasting

confidence: 81%

Pulsed Radiofrequency Treatment of the Lumbar Medial Branch for Facet Pain: A Retrospective Analysis

2006

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The setup of our study does not permit a comparison with the results of continuous radiofrequency (CRF) for the same procedure, other than the detection of an obvious trend. When comparing our results with various studies on CRF of the medial branch such a trend could not be found. Based on these retrospective data, prospective and randomized trials, for example, radiofrequency vs PRF are justified.

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“…The involved area represents a dermatome belt of one or more nerves, and allodynia usually occurs in more than 1 or 2 dermatome belts that overlap above or below the adjacent spinal nerve segments. Numerous therapies are available, including medications, nerve blocks, neuromodulation, and minimally invasive surgery, all of which have varying success rates.…”

Section: Introductionmentioning

confidence: 99%

Computed Tomography‐Guided Percutaneously Controlled Ablation of the Thoracic Paravertebral Nerve Due to Thoracic Neuropathic Pain

et al. 2017

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The role of radiofrequency in the treatment of mechanical pain of spinal origin

Cited by 30 publications

References 22 publications

Factors determining the success of radiofrequency denervation in lumbar facet joint pain: a prospective study

Factors determining the success of radiofrequency denervation in lumbar facet joint pain: a prospective study

Pulsed Radiofrequency Treatment of the Lumbar Medial Branch for Facet Pain: A Retrospective Analysis

Computed Tomography‐Guided Percutaneously Controlled Ablation of the Thoracic Paravertebral Nerve Due to Thoracic Neuropathic Pain

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