.: ORİJİNAL ARAŞTIRMA
Konvansiyonel Radyofrekans ile Yapılan Lomber Mediyal Dal Nörotomisinin Lomber Faset Eklem Ağrısı Olan Hastalarda Kısa ve Uzun Dönemdeki Etkinliğinin Retrospektif Değerlendirilmesi
Retrospective Evaluation of the Short and Long Term Effectiveness of Conventional Radiofrequency Performed for Medial Branch Neurotomy in Patients with Lumbar Facet Joint Pain
Turkiye Klinikleri J Anest Reanim. 2019;17(3):69-76
doi: 10.5336/anesthe.2019-70717
Makale Dili: TR
Tam Metin
ÖZET
Amaç: Kortikosteroid ile intraartiküler enjeksiyon ya da mediyal dal bloğu, lomber faset eklemlerden köken alan kronik bel ağrısı yönetiminde geleneksel olarak yaygın kullanılır. Fakat bu prosedürlerin kanıt düzeyleri düşük ya da orta düzeydedir. Bir alternatif olarak lomber mediyal dalın radyofrekans nörolizisi lomber faset eklem ağrısının yönetiminde kullanılabilir. Biz bu çalışmada, kronik bel ağrısı olan lomber faset eklem sendromlu hastalarda mediyal dalın konvansiyonel radyofrekans ile nörotomisinin etkinliğini retrospektif incelemeyi amaçladık. Gereç ve Yöntemler: Konvansiyonel radyofrekans uygulanan hastaların (n=51) dosyaları tarandı. Tüm hastaların işlem öncesi ve işlem sonrası 1-3-6. ay ve 1-2. yıl vizüel analog skala (VAS) değerleri dosyalardan kaydedildi. Hastaların işlem öncesi ve işlem sonrası 1-3-6. ay ve 1-2. yıl VAS değerleri karşılaştırıldı. Hastaların ikinci yıl sonundaki Odom kriterleri kaydedildi. Bulgular: Hastaların işlem öncesi VAS değerleriyle işlem sonrası 1-3-6. ay ve 1-2. yıl VAS değerleri karşılaştırıldı ve işlem öncesi VAS değerleri istatistiksel olarak anlamlı yüksekti. İki yılın sonunda Odom kriterleri gösterdi ki hastalar tedaviden çok fayda görmüşlerdi. Sonuç: Lomber faset eklem ağrısı olan hastalarda mediyal dal nörotomisi için konvansiyonel radyofrekans, kısa ve uzun dönemde VAS değerlerini etkin olarak düşürmektedir.
Anahtar Kelimeler: Lomber faset eklem sendromu; Konvansiyonel radyofrekans; Vizüel analog skala değerleri
Amaç: Kortikosteroid ile intraartiküler enjeksiyon ya da mediyal dal bloğu, lomber faset eklemlerden köken alan kronik bel ağrısı yönetiminde geleneksel olarak yaygın kullanılır. Fakat bu prosedürlerin kanıt düzeyleri düşük ya da orta düzeydedir. Bir alternatif olarak lomber mediyal dalın radyofrekans nörolizisi lomber faset eklem ağrısının yönetiminde kullanılabilir. Biz bu çalışmada, kronik bel ağrısı olan lomber faset eklem sendromlu hastalarda mediyal dalın konvansiyonel radyofrekans ile nörotomisinin etkinliğini retrospektif incelemeyi amaçladık. Gereç ve Yöntemler: Konvansiyonel radyofrekans uygulanan hastaların (n=51) dosyaları tarandı. Tüm hastaların işlem öncesi ve işlem sonrası 1-3-6. ay ve 1-2. yıl vizüel analog skala (VAS) değerleri dosyalardan kaydedildi. Hastaların işlem öncesi ve işlem sonrası 1-3-6. ay ve 1-2. yıl VAS değerleri karşılaştırıldı. Hastaların ikinci yıl sonundaki Odom kriterleri kaydedildi. Bulgular: Hastaların işlem öncesi VAS değerleriyle işlem sonrası 1-3-6. ay ve 1-2. yıl VAS değerleri karşılaştırıldı ve işlem öncesi VAS değerleri istatistiksel olarak anlamlı yüksekti. İki yılın sonunda Odom kriterleri gösterdi ki hastalar tedaviden çok fayda görmüşlerdi. Sonuç: Lomber faset eklem ağrısı olan hastalarda mediyal dal nörotomisi için konvansiyonel radyofrekans, kısa ve uzun dönemde VAS değerlerini etkin olarak düşürmektedir.
Anahtar Kelimeler: Lomber faset eklem sendromu; Konvansiyonel radyofrekans; Vizüel analog skala değerleri
ABSTRACT
Objective: Intraarticular injections with corticosteroid or medial branch block are traditionally used prevalently in the management of chronic back pain due to lumbar facet joints. However, the evidence levels of these procedures are either at a low or medium level. Radiofrequency neurolysis of the lumbar medial branch can be used as an alternative in the management of lumbar facet joint pain. In this study, our aim retrospective analysed efficiency of conventional radiofrequency in patients with lumbar facet joint pain for medial branch neurotomy in both short and long term. Material and Methods: Patients' files (n=51) were screened whose administreted conventional radiofrequency. Pre-op and post-op 1st, 3rd, 6thmonth and 1st, 2nd year visual analog scale (VAS) values of all patients were asked, recorded, and statistically compared. VAS values of the groups in the same months were compared as well. At the end of the second year, Odom criteria of patients were recorded. Results: Pre-operation VAS values and post-operation 1st, 3rd, 6th month and 1st, 2nd year VAS values were compared in patients, and there was a statistically significant difference between pre-operation VAS values and post-operation 1st, 3rd, 6thmonth and 1st, 2nd year VAS values in patients. Odom criteria patients at the end of the second year, it was observed that the patients were more satisfied with the treatment. Conclusion:Conventional radiofrequency in patients with lumbar facet joint pain for medial branch neurotomy statistically significant decreases VAS values in both short and long term.
Keywords: Lumbar facet joint syndrome; Conventional radiofrequency; Visuel analog scale score
Objective: Intraarticular injections with corticosteroid or medial branch block are traditionally used prevalently in the management of chronic back pain due to lumbar facet joints. However, the evidence levels of these procedures are either at a low or medium level. Radiofrequency neurolysis of the lumbar medial branch can be used as an alternative in the management of lumbar facet joint pain. In this study, our aim retrospective analysed efficiency of conventional radiofrequency in patients with lumbar facet joint pain for medial branch neurotomy in both short and long term. Material and Methods: Patients' files (n=51) were screened whose administreted conventional radiofrequency. Pre-op and post-op 1st, 3rd, 6thmonth and 1st, 2nd year visual analog scale (VAS) values of all patients were asked, recorded, and statistically compared. VAS values of the groups in the same months were compared as well. At the end of the second year, Odom criteria of patients were recorded. Results: Pre-operation VAS values and post-operation 1st, 3rd, 6th month and 1st, 2nd year VAS values were compared in patients, and there was a statistically significant difference between pre-operation VAS values and post-operation 1st, 3rd, 6thmonth and 1st, 2nd year VAS values in patients. Odom criteria patients at the end of the second year, it was observed that the patients were more satisfied with the treatment. Conclusion:Conventional radiofrequency in patients with lumbar facet joint pain for medial branch neurotomy statistically significant decreases VAS values in both short and long term.
Keywords: Lumbar facet joint syndrome; Conventional radiofrequency; Visuel analog scale score
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