Usefulness of Percutaneous Radiofrequency Rhizotomy for the Treatment of Sacroiliac Joint Dysfunction Syndrome
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Dec 23, 2014
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Abstract
Objective: It is the purpose of this article to present sacroiliac joint dysfunction syndrome as a cause of 13 to 30% of low back pain which can be treated by percutaneous rhizotomy by radiofrequency.
Materials and Methods: 16 patients were attended consultation from July 2007 to January 2013, for presenting back pain with clinical features and radiological findings suggestive of dysfunction of the sacroiliac joint syndrome. A total of 16 percutaneous radiofrequency rhizotomy were performed by the same observer (JCA). The analysis was completed with data from the clinical history, and the patients were followed up for one year.
Results: It was found that 75% of patients showed improvement of more than 50% of the pain, by using the visual analog scale. Of these, 25% had greater an improvement greater than 75% pain.
Conclusions: Treatment with percutaneous rhizotomy by radiofrequency under fluoroscopic vision can reach very favorable results.
Keywords
dolor, lumbago crónico, rizotomía, radiofrecuencia, Pain, low back pain, chronic, rhizotomy,
References
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12. Muhlner SB. Review article: radiofrequency neurotomy for the treatment of sacroiliac joint syndrome. Curr Rev Musculoskelet Med. 2009;2(1):10-4.
13. Burnham RS, Yasui Y. An alternate method of radiofrequency neurotomy of the sacroiliac joint: A pilot study of the effect on pain, function and satisfaction. Reg Anesth Pain Med. 2007;32:12-9.
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26. Zundert JV, Vanelderen P, Kessels B, Van Kleef M. Radiofrequency treatment of facet-related pain: evidence and controversies. Curr Pain Headache Rep. 2012;16:19-25.
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28. Bogduk N, Long D. The anatomy of the so-called “articular nerves” and their relationship to facet denervation in the treatment of low-back pain. J Neurosurgery. 1979 Aug;51(2):172-7.
29. Ferrante MF, King LF, Roche PA, Elizabeth A, Kim PS, Aranda D, DeLaney LR, Mardini IA. Radiofrequency sacroiliac joint denervation for sacroiliac syndrome. Reg Anesth Pain Med. 2001;26(2):137-42.
30. Acevedo JC. Dolor lumbar crónico. El Informador Médico. 2002;85:24-6.
31. Acevedo JC. Sindrome facetario lumbar: nuevo signo de diagnóstico clínico. Revista Española de Medicina Física y Rehabilitación. 2004;38(4):168-75.
32. Acevedo JC. Esteroides epidurales lumbares: análisis clínico de una serie de pacientes con dolor lumbar y radiculopatía. Actualización en Neurocirugía. 2006:3(1).
33. Acevedo JC. Síndrome facetario: revisión de la experiencia clínica en el Hospital San Ignacio. Neurociencias en Colombia. 2006;14(3):111-24.
34. Acevedo JC. Dolor lumbar discogénico: tratamiento intradiscal con radiofrecuencia. Presentación de caso clínico. Seguimiento a 8 meses. Dolor. Revista Oficial de la Asociación Colombiana para el Estudio del Dolor. 2007;2(1):69-82.
35. Acevedo JC. Síndrome facetario: revisión de la evidencia clínica y experiencia en el Hospital Universitario de San Ignacio. Dolor. Revista Oficial de la Asociación Colombiana para el Estudio del Dolor. 2007;2(2):49-60.
2. Cohen SP. Sacroiliac joint pain: a comprehensive review of anatomy, diagnosis, and treatment. Anesth Analg. 2005;101(5):1440-53.
3. Simopoulos TT, Manchikanti L, Singh V, Gupta S, Hameed H, Diwan S. A systematic evaluation of prevalence and diagnostic accuracy of sacroiliac joint interventions. Pain Physician. 2012;15(3):E305-44.
4. Hansen HC, McKenzie-Brown AM, Cohen SP, Swicegood JR, Colson JD, Manchikanti L. Sacroiliac joint interventions: a systematic review. Pain Physician. 2007 Jan;10(1):165-84.
5. Ho K-Y, Hadi MA, Pasutharnchat K, Tan K-H. Cooled radiofrequency denervation for treatment of sacroiliac joint pain: two-year results from 20 cases. J Pain Res. 2013 Jan;6:505-11.
6. Manchikanti L, Hansen H, Pampati V, Falco FJE. Utilization and growth patterns of sacroiliac joint injections from 2000 to 2011 in the medicare population. Pain Physician. 2013;16(4):E379-90.
7. Stelzer W, Aiglesberger M, Bscn M, Stelzer D, Stelzer V. Case report use of cooled radiofrequency lateral branch neurotomy for the treatment of sacroiliac joint-mediated low back pain: a large case series. Pain Med. 2013;29-35.
8. Rupert MP, Lee M, Manchikanti L, Datta S, Cohen SP. Systematic appraisal of the literature. Pain Physician. 2009;12(2):399-418.
9. Fortin JD, Kissling RO, O’Connor BL, Vilensky JA. Sacroiliac joint innervation and pain. Am J Orthop. 1999;28:68-90.
10. Smith AG, Report C. Treatment Options for Refractory Sacroiliac Joint Pain [internet]. 2002;14-20. Disponible en: http://spine-doc.com/wp-content/uploads/2012/09/treatment-options-forsacroiliac-joint-pain.pdf
11. Dreyfuss P, Michaelsen M, Pauza K. The value of medical history and physical examination in diagnosing sacroiliac joint pain. Spine. 1996;21:2594-2602.
12. Muhlner SB. Review article: radiofrequency neurotomy for the treatment of sacroiliac joint syndrome. Curr Rev Musculoskelet Med. 2009;2(1):10-4.
13. Burnham RS, Yasui Y. An alternate method of radiofrequency neurotomy of the sacroiliac joint: A pilot study of the effect on pain, function and satisfaction. Reg Anesth Pain Med. 2007;32:12-9.
14. Gevargez A, Groenemeyer D, Schirp S, Braun M. CT-guided percutaneous radiofrequency denervation of the sacroiliac joint. Eur Radiol. 2002;12:1360-5.
15. Kierman JA. El sistema nervioso humano. 7a ed. Madrid: McGraw Hill; 2000.
16. Waxman GS. Clinical neuroanatomy. 26th ed. New York: Mc Graw Hill; 2010.
17. Basbaum AI. Pain physiology: basic science. Can J Anesth. 2002;49(6): R1-3.
18. Basbaum JD. Molecular mechanism of nociception. Nature. 2011;413: 203-10.
19. Bridges SWN, Thomson ACS. Mechanisms of neurophatic pain. Br Anaesth. 2010;87:12-26.
20. Koltzenburg M, Scadding J. Neuropathic pain. Curr Opin Neurol. 2001;14:641-7.
21. Roman C, Aliakmal M, Francois R, John NW, Jing Z. Pain channelopathies. J Physiol. 2010;588(11):1897-904.
22. Cosman ER. Electric and thermal field effects in tissue around radiofrequency electrodes. Pain Med. 2005;6(6):405-24.
23. Nicholas HL, Chua KC, Vissers ES. Pulsed radiofrequency treatment in interventional pain management: mechanisms and potential indications—a review. Acta Neurochir. 2011;153:763-71.
24. Wael F. Management of trigeminal neuralgia by radiofrequency thermocoagulation. Alexandria J Med. 2011;47:79-86.
25. Xuanying Li, Jiaxiang Ni. A prospective study of Gasserian ganglion pulsed radiofrequency combined with continuous radiofrequency for the treatment of trigeminal neuralgia. J Clin Neurosci. 2012;19:824-8.
26. Zundert JV, Vanelderen P, Kessels B, Van Kleef M. Radiofrequency treatment of facet-related pain: evidence and controversies. Curr Pain Headache Rep. 2012;16:19-25.
27. Van Zundert J, Vanelderen P, Kessels AG. Nonsurgical interventional therapies for low back pain: a review of the evidence for an American Pain Society clinical practice guideline. Spine. 2009;34:1078-93.
28. Bogduk N, Long D. The anatomy of the so-called “articular nerves” and their relationship to facet denervation in the treatment of low-back pain. J Neurosurgery. 1979 Aug;51(2):172-7.
29. Ferrante MF, King LF, Roche PA, Elizabeth A, Kim PS, Aranda D, DeLaney LR, Mardini IA. Radiofrequency sacroiliac joint denervation for sacroiliac syndrome. Reg Anesth Pain Med. 2001;26(2):137-42.
30. Acevedo JC. Dolor lumbar crónico. El Informador Médico. 2002;85:24-6.
31. Acevedo JC. Sindrome facetario lumbar: nuevo signo de diagnóstico clínico. Revista Española de Medicina Física y Rehabilitación. 2004;38(4):168-75.
32. Acevedo JC. Esteroides epidurales lumbares: análisis clínico de una serie de pacientes con dolor lumbar y radiculopatía. Actualización en Neurocirugía. 2006:3(1).
33. Acevedo JC. Síndrome facetario: revisión de la experiencia clínica en el Hospital San Ignacio. Neurociencias en Colombia. 2006;14(3):111-24.
34. Acevedo JC. Dolor lumbar discogénico: tratamiento intradiscal con radiofrecuencia. Presentación de caso clínico. Seguimiento a 8 meses. Dolor. Revista Oficial de la Asociación Colombiana para el Estudio del Dolor. 2007;2(1):69-82.
35. Acevedo JC. Síndrome facetario: revisión de la evidencia clínica y experiencia en el Hospital Universitario de San Ignacio. Dolor. Revista Oficial de la Asociación Colombiana para el Estudio del Dolor. 2007;2(2):49-60.
How to Cite
Abadía, L., & Acevedo González, J. C. (2014). Usefulness of Percutaneous Radiofrequency Rhizotomy for the Treatment of Sacroiliac Joint Dysfunction Syndrome. Universitas Medica, 56(3), 280–289. https://doi.org/10.11144/Javeriana.umed56-3.ulpr
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Original Articles