Fluoroscopy-guided Bipolar Radiofrequency Thermocoagulation Treatment for Discogenic Low Back Pain.

Abstract:

BACKGROUND:The efficacy of percutaneous intradiscal radiofrequency thermocoagulation (PIRFT) for the treatment of discogenic low back pain (LBP) remains controversial. However, all the PIRFT studies utilized monopolar radiofrequency thermocoagulation (RFTC). The aim of this study was to investigate the safety and efficacy of bipolar RFTC for the treatment of discogenic LBP. METHODS:A total of 23 patients with discogenic LBP were treated with single-level bipolar RFTC. The patients were assessed before the procedure and at 1 week, 1 month, 3 months, 6 months, and 1 year after the procedure. The primary outcome included the visual analog scale (VAS) score and the Oswestry Disability Index (ODI) score. The secondary outcome included pain relief, reduction of analgesic dose, and patient satisfaction. RESULTS:The VAS and ODI scores were significantly decreased after bipolar RFTC treatment at all time points of follow-up (P < 0.05). Bipolar RFTC treatment also resulted in a significant change in all secondary measures, such as pain relief, reduction of analgesic dose, and patient satisfaction. No serious complications or neurological sequelae were observed in any of the patients. CONCLUSIONS:Bipolar RFTC treatment can significantly attenuate pain and improve the function of patients with discogenic LBP.

journal_name

Chin Med J (Engl)

journal_title

Chinese medical journal

authors

Zhang L,Ding XL,Zhao XL,Wang JN,Li YP,Tian M

doi

10.4103/0366-6999.190682

subject

Has Abstract

pub_date

2016-10-05 00:00:00

pages

2313-8

issue

19

eissn

0366-6999

issn

2542-5641

pii

ChinMedJ_2016_129_19_2313_190682

journal_volume

129

pub_type

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