Universität zu Köln

Bayerl, Simon Heinrich, Finger, Tobias, Heiden, Petra, Esfahani-Bayerl, Nazli, Topar, Christopher, Prinz, Vincent, Woitzik, Johannes, Dengler, Julius and Vajkoczy, Peter (2020). Radiofrequency denervation for treatment of sacroiliac joint pain-comparison of two different ablation techniques. Neurosurg. Rev., 43 (1). S. 101 - 108. NEW YORK: SPRINGER. ISSN 1437-2320

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Abstract

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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Bayerl, Simon Heinrich UNSPECIFIED UNSPECIFIED UNSPECIFIED Finger, Tobias UNSPECIFIED UNSPECIFIED UNSPECIFIED Heiden, Petra UNSPECIFIED UNSPECIFIED UNSPECIFIED Esfahani-Bayerl, Nazli UNSPECIFIED UNSPECIFIED UNSPECIFIED Topar, Christopher UNSPECIFIED UNSPECIFIED UNSPECIFIED Prinz, Vincent UNSPECIFIED UNSPECIFIED UNSPECIFIED Woitzik, Johannes UNSPECIFIED UNSPECIFIED UNSPECIFIED Dengler, Julius UNSPECIFIED UNSPECIFIED UNSPECIFIED Vajkoczy, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-346352
DOI:	10.1007/s10143-018-1016-3
Journal or Publication Title:	Neurosurg. Rev.
Volume:	43
Number:	1
Page Range:	S. 101 - 108
Date:	2020
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1437-2320
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TRIANGULAR TITANIUM IMPLANTS; RANDOMIZED CONTROLLED-TRIAL; BLOCKS; FUSION; PROBE Multiple languages Clinical Neurology; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/34635