Universität zu Köln

Wallscheid, Franziska ORCID: 0000-0002-0252-740X, Manthey, Maximilian, Olsen, Jerome ORCID: 0000-0002-7812-7322, Oikonomidis, Stavros, Meyer, Carolin, Eysel, Peer, Loehrer, Lars and Bredow, Jan ORCID: 0000-0003-2311-4409 . Endoscopic Facet Joint Denervation on the Lumbar Spine: A Retrospective Analysis. Asian Spine J.. SEOUL: KOREAN SOC SPINE SURGERY. ISSN 1976-7846

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Abstract

Study design: This single-center retrospective study analyzed patients with chronic low back pain (CLBP) who underwent endoscopic facet joint denervation (EFJD) between April 2018 and May 2019. Purpose: This study was designed to investigate the effectiveness of EFJD in treating CLBP. Overview of literature: CLBP is a challenging burden to healthcare systems worldwide. As up to 45% of cases originate from the lumbar facet joints, sufficient therapy strategies must be developed. EFJD offers a precise depiction of the dorsal medial ramus and the facet joint capsule. Methods: In this study, 64 patients who underwent EFJD were included. The main outcome of interest was patients' Visual Analog Scale (VAS) pain score, which was recorded at 3-time points (i.e., before operation and 6 weeks and 12 months after surgery). Results: EFJD effectively reduced the VAS pain scores by 58% in the short term (6 weeks) and 38% in the long term (12 months). Patients with isolated facet joint osteoarthritis benefited more (p <0.001). Conclusions: EFJD is a good treatment alternative for CLBP originating from the facet joints, particularly in patients with isolated facet joint osteoarthritis. Moreover, this method can address not only the dorsal medial ramus but also the surrounding tissue (e.g., facet joint capsule, facet joint effusion, and osteophytes) as the origin of CLBP.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wallscheid, Franziska UNSPECIFIED orcid.org/0000-0002-0252-740X UNSPECIFIED Manthey, Maximilian UNSPECIFIED UNSPECIFIED UNSPECIFIED Olsen, Jerome UNSPECIFIED orcid.org/0000-0002-7812-7322 UNSPECIFIED Oikonomidis, Stavros UNSPECIFIED UNSPECIFIED UNSPECIFIED Meyer, Carolin UNSPECIFIED UNSPECIFIED UNSPECIFIED Eysel, Peer UNSPECIFIED UNSPECIFIED UNSPECIFIED Loehrer, Lars UNSPECIFIED UNSPECIFIED UNSPECIFIED Bredow, Jan UNSPECIFIED orcid.org/0000-0003-2311-4409 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-679057
DOI:	10.31616/asj.2021.0150
Journal or Publication Title:	Asian Spine J.
Publisher:	KOREAN SOC SPINE SURGERY
Place of Publication:	SEOUL
ISSN:	1976-7846
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LOW-BACK-PAIN; KRYORHIZOTOMY; SPONDYLOLISTHESIS; OSTEOARTHRITIS; RHIZOTOMY Multiple languages Orthopedics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/67905