Skip to main content
Log in

Percutaneous radiofrequency facet denervation in low-back and extremity pain

  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

The present series includes 47 patients (35 females 12 males) with an average observation time of 8 months after percutaneous lumbar facet denervation by radiofrequency electrocoagulation. All patients had static and kinetic lumbar pain; 90% of them had pain radiating into the legs. None had clinical or radiologic (radiculography and/or CT scan) evidence of a lumbar disc herniation, and all had exhausted conservative therapy. All but one had provocation of their habitual pain on arthrography of the relevant intervertebral lumbar joints and/or on intraoperative stimulation prior to electrocoagulation. 22/47 of the patients had no immediate or late beneficial effect of the electrocoagulation. Eight of the remaining 25 patients had satisfactory relief of pain at follow-up. The failures included all patients with previous multiple lumbar operations except for three.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Andersen KH, Mosdal C (1987) Epidural application of corticosteroids in low-back pain and sciatica. Acta Neurochir (Wien) 87: 52–53

    Google Scholar 

  2. Carrera GF (1984) Lumbar facet joint injection in low block: diagnostic test or therapeutic procedure? Radiology 151: 333–336

    PubMed  Google Scholar 

  3. Carrera GF (1980) Lumbar facet joint injection in low back pain and sciatica. Radiology 137: 665–667

    PubMed  Google Scholar 

  4. Ghormley RK (1933) Low back pain. With special reference to the articular facets, with presentation of an operative procedure. J A M A 101: 1773–1777

    Google Scholar 

  5. Glover JR (1977) Arthrography of the joints of the lumbar vertebral arches. Orthop Clin North Am 8 (1): 37–42

    PubMed  Google Scholar 

  6. Gyldensted C (1986) Personal communication

  7. Harris RI, McNab J (1954) Structural changes in the lumbar intervertebral discs. Their relationship to low back pain and sciatica. J Bone Jt Surg 36B: 304–322

    Google Scholar 

  8. Hirsch C, Ingelmark B-M, Miller M (1963) The anatomical basis for low-back pain. Acta Orthop Scand 33: 1–17

    PubMed  Google Scholar 

  9. Lora J, Long D (1976) So-called facet denervation in the management of intractable back pain. Spine 1: 121–126

    Google Scholar 

  10. Mixter WJ, Barr JS (1934) Rupture of the intervertebral disc with involvement of the spinal canal. N Engl J Med 211: 210–215

    Google Scholar 

  11. Mooney V, Robertson J (1976) The facet syndrome. Clin Orthop 115: 149–156

    PubMed  Google Scholar 

  12. Oudenhoven RC (1974) Articular rhizotomy. Surg Neurol 2: 275–278

    PubMed  Google Scholar 

  13. Oudenhoven RC (1979) The role of laminectomy, facet rhizotomy, and epidural steroids. Spine 4: 145–147

    PubMed  Google Scholar 

  14. Pedersen HE, Blunck CFJ, Gardner E (1956) The anatomy of lumbosacral posterior rami and meningeal branches of spinal nerves (sinu-vertebral nerves). J Bone Jt Surg 38-A: 377–391

    Google Scholar 

  15. Raymond J, Dumas J-M (1984) Intra-articular facet block: diagnostic test or therapeutic procedure? Radiology 151: 333–336

    PubMed  Google Scholar 

  16. Rees WES (1971) Multiple bilateral subcutaneous rhizolysis of segmental nerves in the treatment of the intervertebral disc syndrome. Ann Gen Prac 26: 126–127

    Google Scholar 

  17. Shealy CN (1975) Percutaneous radiofrequency denervation of spinal facets. J Neurosurg 43: 448–451

    PubMed  Google Scholar 

  18. Shealy CN (1976) Facet denervation in the management of back and sciatic pain. Clin Orthop 115: 157–164

    PubMed  Google Scholar 

  19. Åstrøm A (1979) The pharmacology of local anaesthetics. In: Eriksson E, Döberl A (eds) Illustrated handbook in local anaesthesia. Schultz, Copenhagen, pp 10–13

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Part of this read as paper at the 35th Annual Meeting of the Scandinavian Neurosurgical Society, June 1–4, 1983, Helsinki, Finland.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Andersen, K.H., Mosdal, C. & Værnet, K. Percutaneous radiofrequency facet denervation in low-back and extremity pain. Acta neurochir 87, 48–51 (1987). https://doi.org/10.1007/BF02076015

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02076015

Keywords

Navigation