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首页> 外文期刊>Pain practice: the official journal of World Institute of Pain >Long-term follow-up of cervical facet medial branch radiofrequency treatment with the single posterior-lateral approach: An exploratory study
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Long-term follow-up of cervical facet medial branch radiofrequency treatment with the single posterior-lateral approach: An exploratory study

机译：长期随访的内侧颈方面射频治疗单一分支后外侧的方法:一个探索性研究

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Background: Over 50% of patients presenting to pain clinic with neck pain have the cervical facet joints as the source of pain. Radiofrequency (RF) treatment of the medial branch, innervating the facet joint, is a therapeutic option. The objectives of this study were to evaluate the therapeutic effect and its duration of RF treatment, using the single posterior-lateral approach in patients suffering from facet joint degeneration and to identify predictors for a long-term effect. Methods: Of the 130 consecutive patients with axial neck pain referred to the University Pain Center Maastricht, 67 fulfilled the inclusion criteria. The therapeutic effect was measured using the Patients' Global Impression of Change (PGIC) scale. Retrospective data were made complete using newly collected PGIC follow-up data. A Kaplan-Meier curve evaluated the long-term therapeutic effect. Possible predictors of outcome were evaluated. Results: Two patients refused to participate and in the remaining 65 patients, overall pain relief was reported in 55.4% at 2-month follow-up. Moderately, important change of improvement and substantial change of improvement were seen in 50.8% of patients. At 3-year follow-up, 30% still reported pain reduction. Spinal treatment level was the only predictor found. Conclusions: Radiofrequency treatment of the cervical facet joints using a single posterior-lateral approach is a promising technique in patients with chronic neck pain due to facet degeneration. The short-term and long-term therapeutic effects of this intervention justify a randomized controlled trial to estimate the efficacy of cervical facet joint RF treatment in a chronic neck pain population.
机译：背景:超过50%的患者疼痛诊所有颈部疼痛的宫颈面关节疼痛的来源。射频(RF)治疗内侧分支,支配方面联合,是一个治疗的选择。评估治疗效果和它的吗射频治疗的持续时间,使用单一在患者后外侧方法关节退行性变和识别方面长期影响的预测。130年连续轴颈痛患者指大学疼痛中心67年马斯特里赫特,满足入选标准。治疗效果是衡量使用病人的全球印象的变化(PGIC)规模。使用新PGIC后续收集的数据。kaplan meier曲线评估长期治疗效果。结果进行评估。拒绝参加剩下的65人病人,整体报道缓解疼痛55.4%,两个月的随访。改善和实质性的改变改进被认为在50.8%的病人。3年随访,30%仍然疼痛减少。预测。治疗颈椎关节方面的使用单后外侧是一种很有前途的方法技术在慢性颈部疼痛患者方面退化。长期的治疗效果证明随机对照干预试验评估颈椎方面的功效联合射频治疗慢性颈部疼痛人口。

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