Preview

Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika)

Advanced search

PERCUTANEOUS RADIOFREQUENCY FACET ABLATION FOR POSTDISCECTOMY SYNDROME IN THE LUMBAR SPINE

https://doi.org/10.14531/ss2007.3.45-48

Abstract

Objective. To assess the efficacy of percutaneous radiofrequency facet ablation in treatment of patients with postdiscectomy syndrome in the lumbar spine. Material and Мethods. Percutaneous radiofrequency facet denervation was performed in 26 patients with failed back surgery syndrome (postdiscectomy syndrome). Treatment results were assessed with a visual-analog scale, follow-up period was 36 months. Results. A satisfactory clinical effect was observed in 80 % of patients within 3 months after the procedure, and within 36 month follow-up this rate decreased up to 70 %. No treatment-related complications were recorded. Conclusion. Percutaneous radiofrequency facet ablation reliably enhances the quality of life of patients with postdiscectomy syndrome without reoperation for a sufficiently long-term period .

About the Authors

Kirill Borisovich Pevzner
Moscow Medical Academy n.a. I.M. Sechenov
Russian Federation


Oleg Evgenyevich Egorov
Moscow Medical Academy n.a. I.M. Sechenov
Russian Federation


Grigory Yulyevich Evzikov
Moscow Medical Academy n.a. I.M. Sechenov
Russian Federation


Andrey Igorevich Rosen
Moscow Medical Academy n.a. I.M. Sechenov
Russian Federation


References

1. Акатов О.В., Древаль О.Н, Кононов Ю.Р. и др. Чрескожная радиочастотная деструкция суставных нервов в лечении нижнепоясничных болей // Вопр. нейрохирургии. 1997. № 2. С. 17–20.

2. Болезни нервной системы: Рук-во для врачей / Под ред. Яхно Н.Н., Штульмана Д.Р. М., 2001. Т. 2.

3. Вейн А.М., Вознесенская Т.Г., Данилов А.Б. и др. Болевые синдромы в неврологической практике. М., 1999.

4. Гельфенбейн М.С. Международный конгресс, посвященный лечению хронического болевого синдрома после операций на поясничном отделе позвоночника «Pain management-98» (Failed back surgery syndrome) // Нейрохирургия. 2000. № 1–2. С. 65.

5. Певзнер К.Б., Евзиков Г.Ю. Чрескожная радиочастотная деструкция суставных нервов как метод выбора в лечении поясничных болей // Неврологический журн. 2005. № 2. С. 45–49.

6. Banerjee Т., Pittman Н.Н. Facet rhizotomy. Another armamentarium for treatment of low backache // N. С. Med. J. 1976. Vol. 37. P. 354–360.

7. Bogduk N. Тhe innervation of the lumbar spine // Spine. 1983. Vol. 8. P. 286–293.

8. Bogduk N., Macintosh J., Marsland А. Technical limitations to the efficacy of radioftequency neurotomy for spinal pain // Neurosurgery. 1987. Vol. 20. P. 529–535.

9. Burton С.V. Percutaneous radiofrequency facet denervation // Аррl. Neurophysiol. 1976–1977. Vol. 39. P. 80–86.

10. Саrrеrа G.F. Lumbar facet joint injection in low back pain and sciatica: description of technique // Radiology. 1980. Vol. 137. P. 661–664.

11. Deyo R.А. Comparative validity of the sickness impact рrоfilе and shorter scales for functional assessment in low-back pain // Spine. 1986. Vol. 11. P. 951–954.

12. Drеуег S.J., Dreyfuss Р.Н. Low back pain and the zygapophysial (facet) joints // Arch. Phys. Med. Rehabil. 1996. Vol. 77. P. 290–300.

13. Pevsner Y., Shabat S., Catz А., et al. The role of radiofrequency in the treatment of mechanical pain of spinal origin // Eur. Spine J. 2003. Vol. 12. P. 602–605.


Review

For citations:


Pevzner K.B., Egorov O.E., Evzikov G.Yu., Rosen A.I. PERCUTANEOUS RADIOFREQUENCY FACET ABLATION FOR POSTDISCECTOMY SYNDROME IN THE LUMBAR SPINE. Russian Journal of Spine Surgery (Khirurgiya Pozvonochnika). 2007;(3):045-048. (In Russ.) https://doi.org/10.14531/ss2007.3.45-48



Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1810-8997 (Print)
ISSN 2313-1497 (Online)