Archive | Radiofreq. Neurotomy

Research – Lumbar Radiofrequency Neurotomy

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6 - Effectiveness of repeated radiofrequency neurotomy for lumbar facet pain

  • Spine. 2004 Nov 1;29(21):2471-3.
  • Each RF neurotomy had a mean duration of relief = 10.5 months
  • The repeat ablations were successful more than 85% of the time (and some of the patients had up to 4 repeated procedures)

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Research – Cervical Radiofrequency Neurotomy

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2 – Radiofrequency medial branch neurotomy in litigant and nonlitigant patients with cervical whiplash: a prospective study

  • Spine. 2001 Jun 15;26(12):E268-73
  • 46 patients who failed 20 weeks of conservative care
  • Both groups had significant improvement in pain scores and reported symptoms.  No significant difference between the groups was seen.
  • “…the potential for secondary gain in patients who have cervical facet arthropathy as a result of a whiplash injury does NOT influence response to treatment.”

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Research – Thoracic Radiofrequency Neurotomy

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1 - Percutaneous facet denervation in chronic thoracic spinal pain

  • Acta Neurochir (Wien). 1993;122(1-2):82-90.
  • 40 patients with chronic thoracic pain of more than 12 months (failed conservative treatment)
  • After 2 months: Pain-free = 47.5%;  >50% relief = 35%
  • After 31 months (average f/u):  Pain-free = 44%;  >50% relief = 39%
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