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

J. Park, Jung Yul Park, Se-Hoon Kim, Dong Jun Lim, Sang-Dae Kim, H. S. Chung

    Research output: Chapter in Book/Report/Conference proceedingChapter

    5 Citations (Scopus)

    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