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Neuroradiology

Erschienen in:

01.07.2012 | Interventional Neuroradiology

Medial branch neurotomy in low back pain

verfasst von: Salvatore Masala, Giovanni Nano, Matteo Mammucari, Stefano Marcia, Giovanni Simonetti

Erschienen in: Neuroradiology | Ausgabe 7/2012

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Abstract

Introduction

This study aimed to assess the effectiveness of pulsed radiofrequency medial branch dorsal ramus neurotomy in patients with facet joint syndrome.

Methods

From January 2008 to April 2010, 92 patients with facet joint syndrome diagnosed by strict inclusion criteria and controlled diagnostic blocks undergone medial branch neurotomy. We did not exclude patients with failed back surgery syndrome (FBSS). Electrodes (20G) with 5-mm active tip were placed under fluoroscopy guide parallel to medial branch. Patients were followed up by physical examination and by Visual Analog Scale and Oswestry Disability Index at 1, 6, and 12 months.

Results

In all cases, pain improvement was statistically significant and so quality of life. Three non-FBSS patients had to undergo a second neurotomy because of non-satisfactory pain decrease. Complications were reported in no case.

Conclusions

Medial branch radiofrequency neurotomy has confirmed its well-established effectiveness in pain and quality of life improvement as long as strict inclusion criteria be fulfilled and nerve ablation be accomplished by parallel electrode positioning. This statement can be extended also to FBSS patients.

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Titel: Medial branch neurotomy in low back pain
verfasst von: Salvatore Masala
Giovanni Nano
Matteo Mammucari
Stefano Marcia
Giovanni Simonetti
Publikationsdatum: 01.07.2012
Verlag: Springer-Verlag
Erschienen in: Neuroradiology / Ausgabe 7/2012
Print ISSN: 0028-3940
Elektronische ISSN: 1432-1920
DOI: https://doi.org/10.1007/s00234-011-0968-6

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Abstract

Introduction

Methods

Results

Conclusions

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