Walter, Sebastian G., Struwe, Charlotte, Scheidt, Sebastian, Strohmenger, Lara, Bornemann, Rahel, Wirtz, Dieter C., Pflugmacher, Robert and Rommelspacher, Yorck (2020). Endoscopic facet joint denervation for treatment of chronic lower back pain. Clin. Neurol. Neurosurg., 195. AMSTERDAM: ELSEVIER. ISSN 1872-6968

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Abstract

Objectives: Percutaneous radiofrequency is an established method for treatment of chronic low back pain of intervertebral facet etiology. Endoscopic techniques have the advantage of visualization of the facet joint and the dorsal medial ramus and thus allow for more accurate denervation. It was thus hypothesized that pain reduction is vaster and longer enduring. Patients and Methods: A total of 98 consecutive patients that underwent endoscopic facet joint denervation (EFJD) were included in this study. Prior to intervention and for follow-up, patients were asked to complete VASpain, ODI, COMI and EQ5D questionnaires. Results: VASpain was reduced significantly (EFJD: p < 0.001) at last follow-up. Values for ODI, COMI and EQ5D showed significant improvements towards subjective well-being at last follow-up. Conclusion: EFJD is a promising technique for the treatment of facet joint syndrome caused CLBP as it contributes to sustaining significant pain reduction and improvement of subjective quality of life parameters.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Walter, Sebastian G.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Struwe, CharlotteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Scheidt, SebastianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Strohmenger, LaraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bornemann, RahelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wirtz, Dieter C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pflugmacher, RobertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rommelspacher, YorckUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-324089
DOI: 10.1016/j.clineuro.2020.105904
Journal or Publication Title: Clin. Neurol. Neurosurg.
Volume: 195
Date: 2020
Publisher: ELSEVIER
Place of Publication: AMSTERDAM
ISSN: 1872-6968
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
RADIOFREQUENCY DENERVATION; DOUBLE-BLIND; CLINICAL-TRIAL; RHIZOTOMYMultiple languages
Clinical Neurology; SurgeryMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/32408

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