Methodological concerns of “Intra-osseous basivertebral nerve radiofrequency ablation (BVA) for the treatment of vertebrogenic chronic low back pain”

2021 ◽  
Author(s):  
Estanislao Arana ◽  
Francisco M. Kovacs ◽  
Víctor González-Pérez ◽  
Beatriz Asenjo
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Radiofrequency Ablation ◽  
Chronic Low Back Pain ◽  
Low Back

scholarly journals Endoscopic rhizotomy for chronic lumbar zygapophysial joint pain

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Yuntao Xue ◽  
Tao Ding ◽  
Dajie Wang ◽  
Jianli Zhao ◽  
Huilin Yang ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Radiofrequency Ablation ◽  
Chronic Low Back Pain ◽  
Joint Pain ◽  
Control Group ◽  
Low Back ◽  
Percutaneous Radiofrequency Ablation ◽  
Time Points ◽  
Zygapophysial Joint

Abstract Background Chronic lumbar zygapophysial joint pain is a common cause of chronic low back pain. Percutaneous radiofrequency ablation (RFA) is one of the effective management options; however, the results from the traditional RFA need to be improved in certain cases. The aim of this study is to investigate the effect of percutaneous radiofrequency ablation under endoscopic guidance (ERFA) for chronic low back pain secondary to facet joint arthritis. Methods This is a prospective study enrolled 60 patients. The cases were randomized into two groups: 30 patients in the control group underwent traditional percutaneous radiofrequency ablation, others underwent ERFA. The lumbar visual analog scale (VAS), MacNab score, and postoperative complications were used to evaluate the outcomes. All outcome assessments were performed at postoperative 1 day, 1 month, 3 months, 6 months, and 12 months. Results There was no difference between the two groups in preoperative VAS (P > 0.05). VAS scores, except the postoperative first day, in all other postoperative time points were significantly lower than preoperative values each in both groups (P < 0.05). There was no significant difference between the two groups in VAS at 1 day, 1 month, and 3 months after surgery (P > 0.05). However, the EFRA demonstrated significant benefits at the time points of 3 months and 6 months (P > 0.05). The MacNab scores of 1-year follow-up in the ERFA group were higher than that in the control group (P < 0.05). The incidence of complications in the ERFA group was significantly less than that in the control group (P < 0.05). Conclusions ERFA may achieve more accurate and definite denervation on the nerves, which leads to longer lasting pain relief.

Intra-osseous basivertebral nerve radiofrequency ablation (BVA) for the treatment of vertebrogenic chronic low back pain

2020 ◽  
Author(s):  
Aldo Eros De Vivo ◽  
Giovanni D’Agostino ◽  
Gennaro D’Anna ◽  
Hosam Al Qatami ◽  
Ines Gil ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Radiofrequency Ablation ◽  
Chronic Low Back Pain ◽  
Low Back

Poster 306: Intra-Articular Sacroiliac Joint Pulsed Radiofrequency Ablation for the Management of Chronic Low Back Pain: A Case Series

PM&R ◽  
2018 ◽  
Vol 10 ◽  
pp. S102-S102
Author(s):  
Lisa M. Koplik-Nieves ◽  
Eduardo J. Otero-Loperena ◽  
Marimie Rodriguez-Campos ◽  
Carlos Calvo-Silva
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Radiofrequency Ablation ◽  
Chronic Low Back Pain ◽  
Sacroiliac Joint ◽  
Case Series ◽  
Low Back ◽  
Pulsed Radiofrequency

scholarly journals Radiofrequency ablation of the basivertebral nerve in the treatment of chronic low back pain: analysis of a small clinical series

2021 ◽  
Vol 18 (3) ◽  
pp. 61-67
Author(s):  
Ia. V. Fishchenko ◽  
A. R. Garmish ◽  
L. D. Kravchuk ◽  
A. I. Saponenko
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Radiofrequency Ablation ◽  
Chronic Low Back Pain ◽  
Depression Scale ◽  
Pain Syndrome ◽  
Subjective Assessment ◽  
Low Back ◽  
Mild Depression ◽  
Clinical Series

Objective. To  evaluate the efficacy and safety of radiofrequency ablation of the basivertebral nerve in the treatment of chronic low back pain associated with Modic I and II changes according to MRI data.Material and Methods. The results of treatment of 19 patients with chronic low back pain syndrome in the lower back lasting 6 months or more were analyzed. Patients were treated with radiofrequency ablation of basivertebral nerve.Results. The duration of the manipulation averaged 28.0 ± 4.8 min. In all patients, a decrease in the Oswestry index by an average of 24.3 points (21.7 ± 5.2) was observed at 6 months after ablation of the basivertebral nerve. The intensity of the pain syndrome decreased immediately after the manipulation to 2.1 ± 1.1 cm on average, that is, by 71.2 %. According to the Beck Depression Scale, the patients showed signs of mild depression (subdepression) before the procedure (13.8 ± 3.6 points). When examined after 12 months, the patients showed an improvement in their psychoemotional state up to the normal values (3.4 ± 2.7 points). Subjective assessment of the condition of patients compared with the baseline showed that 16 (84.2 %) of them assessed their condition as a significant improvement with a significant regression of pain by more than 50 % at all stages of follow-up, and two patients (10.5 %) reported only a slight decrease in pain syndrome immediately after the procedure, followed by its resumption to the initial level.Conclusion. Using clear criteria for selection of patients for radiofrequency ablation of the basivertebral nerve, it can be argued that this method is effective in the treatment of chronic low back pain associated with Modic I and II changes according to MRI data. With the help of radiofrequency ablation, it is possible to achieve long-term remission of pain syndrome up to 12 months and more.

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