The Effectiveness of Endoscopic Radiofrequency Denervation of Medial Branch for Treatment of Chronic Low Back Pain

Jeong, Sun Yoon; Kim, Jin Sung; Choi, Won Suh; Hur, Jung Woo; Ryu, Kyoung Sik

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자료유형: 학술저널

저자정보: Jeong, Sun Yoon (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine) Kim, Jin Sung (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine) Choi, Won Suh (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine) Hur, Jung Woo (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine) Ryu, Kyoung Sik (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine)

저널정보: 대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제56권 제4호

발행연도: 2014.1

수록면: 338 - 343 (6page)

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연구배경

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연구방법

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Objective : The aim of this study is to evaluate the clinical results of endoscopic radiofrequency ablation of medial branch in patients with chronic low back pain originating from facet joints. Methods : Between October 2010 and December 2013, 52 consecutive patients had suffering from chronic low back pain had undergone endoscopic radiofrequency denervation of medial branch of dorsal ramus. The clinical outcomes of these 52 patients were reviewed retrospectively. Preoperative and postoperative Visual Analogue Scale (VAS) and Korean version of Oswestry Disability Index (K-ODI), and patients' satisfaction with the procedure were assessed. Results : The pain scores on the VAS for back pain had improved significantly from a preoperative mean of 7.1 to a postoperative mean of 2 at the last follow-up (p<0.001). The clinical outcomes based on the K-ODI had also improved significantly from a preoperative mean of 26.5% to postoperative mean of 7.7% at the last follow-up (p<0.001). 80% of patients were satisfied with the procedure. There were no complications associated with the procedure. Conclusion : Our preliminary results demonstrate that endoscopic radiofrequency denervation of medial branch could be an effective alternative treatment modality for chronic back pain originating from facet joints that provides long-term pain relief.

#Endoscopic radiofrequency #Chronic low back pain #Facet joint #Medial branch

참고문헌 (22)

참고문헌 신청

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