Martínez SJE, Pereira AY, Coronado RAE

Language: Spanish
References: 15
Page:
PDF size: 76.37 Kb.

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.

REFERENCES

1. Martínez Suárez JE, Camblor L, Salva S, de Jongh WA. Termocoagulaciónfacetaria 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

2. 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

3. Abdel C, Maher CG, Williams KA, Day R, Mc Lachlan AJ. Efficacy,Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low BackPain: 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

4. Al-Najjim M, Shah R, Rahuma M, Gabbar OA. Lumbar facet joint injection intreating 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

5. Beaudette SM, Larson KJ, Larson DJ, Brown SH. Low back skin sensitivityhas minimal impact on active lumbar spine proprioception and stability inhealthy 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

6. Bozkurt S, Aktekin L, Ugurlu FG, Balci S, Sezer N, Akkus S. An UnusualCause 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

7. Fortin M, Gibbons LE, Videman T, Battié MC. Do variations in paraspinalmuscle 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

8. Gatzinsky K, Eldabe S, Deneuville JP, Duyvendak W, Naiditch N, Van BuytenJP, Rigoard P. Optimizing the Management and Outcomes of Failed BackSurgery Syndrome: A Proposal of a Standardized Multidisciplinary Team CarePathway. Pain Res Manag. 2019;(8):1-8. DOI:https://doi.org/10.1155/2019/8184592

9. Rigoard P, Gatzinsky K, Deneuville JP, Duyvendak W, Naiditch N, VanBuyten JP, et al. Optimizing the Management and Outcomes of Failed BackSurgery 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

10. Scheer JK, Smith JS, Schwab F, Lafarge V, Shaffrey CI, Bess S, et al.Development of a preoperative predictive model for major complicationsfollowing adult spinal deformity surgery. J Neurosurg Spine. 2017;6(26):736-43. DOI: https://doi.org/10.3171/2016.10.SPINE.16197

11. Hernández GA, Zamora Salas JD. Exercise as a treatment for low back painmanagement. Revista de Salud Pública. 2017[acceso:17/11/2020];19(1):123-8.Disponible en: https://www.researchgate.net>publication>317472031

12. Herndon CL, Horodyski M, Vincent HK. Acute effects of anesthetic lumbarspine injections on temporal spatial parameters of gait in individuals withchronic 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

13. Cohen SP, Doshi TL, Constantinescu OC, Zhao Z, Curihara C. Effectivenessof lumbar facet joint blocks and predictive value before radiofrequencydenervation: The Facet Tratment Study (FACTS), a randomized control clinicaltrial. Anesthesiology. 2018[acceso:22/11/2020];129:517-35. Disponible en:https://www.apicareonline.com//doi:10.1097/ALN.0000000000002274

14. Mimaroglu C, Altinay B, Duger C, Isbir AC, Gursoy S, Kaygusuz K, et al. Theevaluation of radiofrequency facet nerve denervation in the patients withlumbar facet syndrome: experience with 493 patients. Anesth Pain & IntensiveCare. 2017[acceso:22/11/2020];21(4):438-41. Disponible en:https://www.researchgate.net>publication>324796816

15. León JF, Ortiz JG, Fonseca EO, Martínez CR, Cuellar CO. Radiofrequencyneurolysis for lumbar pain using a variation of the original technique. PainPhysician 2016[acceso:26/11/2020];19(3):155-61. Disponible en:https://pubmed.ncbi.nim.nih.gov//PMID:27008289