Radiofrequency denervation for treatment of sacroiliac joint pain-comparison of two different ablation techniques
| Autor: | Simon Bayerl, Johannes Woitzik, Tobias Finger, Nazli Esfahani-Bayerl, Christopher Topar, Petra Heiden, Peter Vajkoczy, Vincent Prinz, Julius Dengler |
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| Rok vydání: | 2018 |
| Předmět: |
Ablation Techniques
Adult Male medicine.medical_specialty Percutaneous Radiofrequency denervation Sacroiliac joint pain Short form 36 030218 nuclear medicine & medical imaging 03 medical and health sciences Disability Evaluation 0302 clinical medicine Medicine Humans Pain Management Electrodes Aged Denervation Aged 80 and over business.industry Clinical course Sacroiliac Joint General Medicine Equipment Design Satisfaction rating Middle Aged Arthralgia Oswestry Disability Index Surgery Treatment Outcome Patient Satisfaction Catheter Ablation Quality of Life Female Neurology (clinical) business Low Back Pain 030217 neurology & neurosurgery |
| Zdroj: | Neurosurgical review. 43(1) |
| ISSN: | 1437-2320 |
| Popis: | The radiofrequency treatment (RFD) for sacroiliac joint pain (SIP) is well-established, but there is still scarce evidence on its clinical outcome. The classical monopolar RFD is limited by a high recurrence rate. This might be caused by an incomplete denervation of the dorsal rami. The Simplicity III probe was invented to optimise pain fibre recruitment by its multi-electrode design. However, the clinical superiority of this procedure was never proven. The aim of this study was to illustrate the effectiveness of RFD and to compare both denervation techniques. One hundred twenty-one patients were included, and their clinical course was analysed. Fifty-seven patients received conventional treatment with multiple percutaneous monopolar RFDs (monolesion probe group, MoLG) and 64 patients with the Simplicity III probe (multilesion probe group, MuLG). All patients were followed 1, 3, 6 and 12 s after RFD. Clinical outcome scores were analysed (numeric pain rating scale (NPRS), Roland-Morris Disability Questionnaire, Oswestry Disability Index (ODI), Odom’s criteria, Short Form 36 score). The MuLG showed a clearly advanced improvement concerning the clinically relevant pain relief (≥ 50%) (1 month/3 months /6 months/12 months = 72%, 55%, 36%, 27% vs. 1 month/3 months/6 months/12 months = 39%, 28%, 16%, 11%) as well as an advanced improvement of pain-associated disability and a higher satisfaction rating compared to the MoLG (NPRSMuLG_preop = 8,3; NPRSMuLG_12months = 5.8; NPRSMoLG_preop = 7,7; NPRSMoLG_12months = 5.8; ODIMuLG_preop = 52; ODIMuLG_12months = 42; ODIMoLG_preop = 52; ODIMoLG_12months = 47; ODOMSMuLG_good/excellent = 54%; ODOMSMoLG_good/excellent = 28%). RFD of the SIP with the Simplicity III probe is effective and delivers a distinct pain reduction even after 1 year of treatment. This technique shows clear advantages compared to the conventional monolesion technique and is a useful treatment for patients with recurrent SIP. |
| Databáze: | OpenAIRE |
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