Abstract:
:Defining the origin of low back pain is a challenging task. Among a variety of factors the sacroiliac joint (SIJ) is a possible pain generator, although precise diagnosis is difficult. Joint blocks may reduce pain, but are, in cases, of only temporary effect. This study was conducted to evaluate CT-guided percutaneous radiofrequency denervation of the sacroiliac joint in patients with low back pain. The procedure was performed on 38 patients who only temporarily responded to CT-guided SIJ blocks. The denervation was carried out in the posterior interosseous sacroiliac ligaments and on the dorsal rami of the fifth spinal nerve. All interventions were carried out under CT guidance as out-patient therapies. Three months after the therapy, 13 patients (34.2%) were completely free of pain. Twelve patients (31.6%) reported on a substantial pain reduction, 7 patients (18.4%) had obtained a slight and 3 patients (7.9%) no pain reduction. The data of 3 patients (7.9%) was missing. There were no intra- or postoperative complications. Computed tomography-guided percutaneous radiofrequency denervation of the sacroiliac joint appears safe and effective. The procedure may be a useful therapeutic modality, especially in patients with chronic low back pain, who only temporarily respond to therapeutic blocks.
journal_name
Eur Radioljournal_title
European radiologyauthors
Gevargez A,Groenemeyer D,Schirp S,Braun Mdoi
10.1007/s00330-001-1257-2subject
Has Abstractpub_date
2002-06-01 00:00:00pages
1360-5issue
6eissn
0938-7994issn
1432-1084journal_volume
12pub_type
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journal_title:European radiology
pub_type: 杂志文章
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更新日期:2017-03-01 00:00:00
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更新日期:2018-10-01 00:00:00
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更新日期:2001-01-01 00:00:00
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pub_type: 评论,社论
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更新日期:2021-01-15 00:00:00
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