Long term results from percutaneous radiofrequency neurotomy on posterior primary ramus in patients with chronic low back pain

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

We report on our experience of percutaneous radiofrequency neurotomy (PRN) on the posterior primary ramus (PPR) with at least two years follow-up. 228 patients underwent PRN on the PPR for refractory low back pain. 128 patients met the inclusion criteria of facetal originated pain (group II), while 100 patients did not (group I). Radiofrequency (RF) procedures were applied in the usual manner. Pain relief was assessed at 1 week, 1 month, 6 months and 2 years using visual analog scale (VAS). Positive responders were 56% at 1 week, 46% at 1 month, 18% at 6 months, and 13% at 2 years after PRN in group I, and 78.9% at 1 week, 75.4% at 1 month, 62.5% at 6 months, and 54.7% at 2 years in group II. Prominent local tenderness, percussion tenderness, pain on getting up, extension and transitional movement, radiating pain on buttock and/or posterior thigh, and good immediate response were found to be significantly related to good outcome. PRN on the PPR has long-term beneficial effects. Long-term good results can be achieved after proper selection of patients with facet joint related low back pain.

Original languageEnglish
Title of host publicationAdvances in Functional and Reparative Neurosurgery
PublisherSpringer-Verlag Wien
Pages81-83
Number of pages3
Edition99
ISBN (Print)9783211352045
DOIs
Publication statusPublished - 2006 Jan 1

Publication series

NameActa Neurochirurgica, Supplementum
Number99
ISSN (Print)0065-1419

Keywords

  • facet joint
  • Low back pain
  • percutaneous radiofrequency neurotomy (PRN)
  • posterior primary ramus (PPR)

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

Fingerprint Dive into the research topics of 'Long term results from percutaneous radiofrequency neurotomy on posterior primary ramus in patients with chronic low back pain'. Together they form a unique fingerprint.

  • Cite this

    Park, J., Park, J. Y., Kim, S-H., Lim, D. J., Kim, S-D., & Chung, H. S. (2006). Long term results from percutaneous radiofrequency neurotomy on posterior primary ramus in patients with chronic low back pain. In Advances in Functional and Reparative Neurosurgery (99 ed., pp. 81-83). (Acta Neurochirurgica, Supplementum; No. 99). Springer-Verlag Wien. https://doi.org/10.1007/978-3-211-35205-2-16