Conventional Radiofrequency in Patients with Lumbar Facet Pain
Keywords:
thermocoagulation, radio frequency, lumbar pain, articular facet, facet joints, spine.Abstract
Introduction: Low back pain is a very common symptom that affects 60-90 % of adults at some point in their life and the alteration in the joint facet represents 15 to 40 % of low back pain. Radiofrequency is a very useful procedure in the relief of neuropathic pain.
Objective: To evaluate the Percutaneous Radiofrequency Thermocoagulation technique in facet lumbar pain, in patients diagnosed with lumbar facet pain, treated in the Neurosurgery service at Hermanos Ameijeiras Surgical Clinical Hospital from 1988 to 2018.
Method: A prospective descriptive study of 397 patients diagnosed with facet lumbar pain was carried out. They were selected from the neurosurgery outpatient clinic at Hermanos Ameijeiras Surgical Clinical Hospital, from 1988 to 2018. The minimally invasive technique of Percutaneous Radiofrequency Thermocoagulation was used.
Results: The male sex and the age group between 30 and 39 years predominated. 65 % had history of surgery on the spine, 54 % used therapeutic alternatives prior to the surgical procedure and the L4-L5 and L5-S1 levels were the most affected. Satisfactory pain relief results were obtained in 77.9 % of these patients.
Conclusions: Lumbar facet pain appears in the third and fourth decade of life. In men it is more frequent when there is greater physical activity. The lower lumbar segments are the most prone and there is no predilection for one type of laterization. Percutaneous Radiofrequency Thermocoagulation is a very effective procedure in the relief of lumbar facet pain.
Downloads
References
Martínez Suárez JE, Camblor L, Salva S, de Jongh WA. Termocoagulación facetaria lumbar. Experiencia en 252 pacientes. Rev Soc Esp Dolor 2005[acceso:12/11/2020];12:425-8. Disponible en: https://scielo.isciii.es>scielo>pid=S1134-80462005000
Hernández Pérez PA. Síndrome de fracaso en la cirugía espinal lumbar. Rev. Soc. Esp. Dolor. 2007[acceso:3/11/2020];14(6):437-46. Disponible en: https://scielo.isciii.es>scielo>pid=S1134-80462007000
Abdel C, Maher CG, Williams KA, Day R, Mc Lachlan AJ. Efficacy, Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low Back Pain: A Systematic Review and Meta-analysis. JAMA. 2016[acceso:12/11/2020];176(7):958-68. Disponible en: https://pubmed.ncbi.nim.nih.gov//doi:10.1001
Al-Najjim M, Shah R, Rahuma M, Gabbar OA. Lumbar facet joint injection in treating low back pain: Radiofrequency denervation versus SHAM procedure. Systematic review. J Orthop. 2017 Oct 27[acceso:14/11/2020];15(1):1-8. Disponible en: https://pubmed.ncbi.nim.nih.gov//doi:10.1016/j.jor.2017.10.001
Beaudette SM, Larson KJ, Larson DJ, Brown SH. Low back skin sensitivity has minimal impact on active lumbar spine proprioception and stability in healthy adults. Experimental brain research, 2016[acceso:14/11/2020];234(8):2215-26. Disponible en: https://pubmed.ncbi.nim.nih.gov//doi:10.1007/s00221-016-4625-5
Bozkurt S, Aktekin L, Ugurlu FG, Balci S, Sezer N, Akkus S. An Unusual Cause of Myelopathy: Ochronotic Spondyloarthropathy With Positive Hla B27. American Journal of Physical Medicine and Rehabilitation, 2017[acceso:14/11/2020];96(11):206-9. Disponible en: https://pubmed.ncbi.nim.nih.gov//doi:10.1097/PHM.0000000000000727
Fortin M, Gibbons LE, Videman T, Battié MC. Do variations in paraspinal muscle morphology and composition predict low back pain in men? Scandinavian journal of medicine and science in sports. 2015[acceso:16/11/2020];25(6):880-7. Disponible en: https://onlinelibrary.wiley.com//doi:10.1111/sms.12301
Gatzinsky K, Eldabe S, Deneuville JP, Duyvendak W, Naiditch N, Van Buyten JP, Rigoard P. Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Proposal of a Standardized Multidisciplinary Team Care Pathway. Pain Res Manag. 2019;(8):1-8. DOI: https://doi.org/10.1155/2019/8184592
Rigoard P, Gatzinsky K, Deneuville JP, Duyvendak W, Naiditch N, Van Buyten JP, et al. Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Consensus Statement on Definition and Outlines for Patient Assessment. Pain Res Manag. 2019;2019(18):1-12. DOI: https://doi.org/10.1155/2019/3126464
Scheer JK, Smith JS, Schwab F, Lafarge V, Shaffrey CI, Bess S, et al. Development of a preoperative predictive model for major complications following adult spinal deformity surgery. J Neurosurg Spine. 2017;6(26):736-43. DOI: https://doi.org/10.3171/2016.10.SPINE.16197
Hernández GA, Zamora Salas JD. Exercise as a treatment for low back pain management. Revista de Salud Pública. 2017[acceso:17/11/2020];19(1):123-8. Disponible en: https://www.researchgate.net>publication>317472031
Herndon CL, Horodyski M, Vincent HK. Acute effects of anesthetic lumbar spine injections on temporal spatial parameters of gait in individuals with chronic low back pain: A pilot study. Gait & Posture. 2017[acceso:19/11/2020];58:369-73. Disponible en: https://pubmed.ncbi.nim.nih.gov//doi:10.1016/j.gaitpost.2017.08.016
Cohen SP, Doshi TL, Constantinescu OC, Zhao Z, Curihara C. Effectiveness of lumbar facet joint blocks and predictive value before radiofrequency denervation: The Facet Tratment Study (FACTS), a randomized control clinical trial. Anesthesiology. 2018[acceso:22/11/2020];129:517-35. Disponible en: https://www.apicareonline.com//doi:10.1097/ALN.0000000000002274
Mimaroglu C, Altinay B, Duger C, Isbir AC, Gursoy S, Kaygusuz K, et al. The evaluation of radiofrequency facet nerve denervation in the patients with lumbar facet syndrome: experience with 493 patients. Anesth Pain & Intensive Care. 2017[acceso:22/11/2020];21(4):438-41. Disponible en: https://www.researchgate.net>publication>324796816
León JF, Ortiz JG, Fonseca EO, Martínez CR, Cuellar CO. Radiofrequency neurolysis for lumbar pain using a variation of the original technique. Pain Physician 2016[acceso:26/11/2020];19(3):155-61. Disponible en: https://pubmed.ncbi.nim.nih.gov//PMID:27008289
Downloads
Published
How to Cite
Issue
Section
License
Aquellos autores/as que tengan publicaciones con esta revista, aceptan los términos siguientes:
- Los autores/as conservarán sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
- Los autores/as podrán adoptar otros acuerdos de licencia no exclusiva de distribución de la versión de la obra publicada (p. ej.: depositarla en un archivo telemático institucional o publicarla en un volumen monográfico) siempre que se indique la publicación inicial en esta revista.
- Se permite y recomienda a los autores/as difundir su obra a través de Internet (p. ej.: en archivos telemáticos institucionales o en su página web) antes y durante el proceso de envío, lo cual puede producir intercambios interesantes y aumentar las citas de la obra publicada. (Véase El efecto del acceso abierto).
