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Titolo:
Radiofrequency sacroiliac joint denervation for sacroiliac syndrome
Autore:
Ferrante, FM; King, LF; Roche, EA; Kim, PS; Aranda, M; DeLaney, LR; Mardini, IA; Mannes, AJ;
Indirizzi:
Univ Penn, Sch Med, Pain Med Ctr, Dept Anesthesiol, Philadelphia, PA 19104USA Univ Penn Philadelphia PA USA 19104 nesthesiol, Philadelphia, PA 19104USA
Titolo Testata:
REGIONAL ANESTHESIA AND PAIN MEDICINE
fascicolo: 2, volume: 26, anno: 2001,
pagine: 137 - 142
SICI:
1098-7339(200103/04)26:2<137:RSJDFS>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
INJECTION ARTHROGRAPHY TECHNIQUE; PAIN REFERRAL MAPS; LOW-BACK-PAIN; DYSFUNCTION; TESTS;
Keywords:
sacroiliac joint dysfunction; mechanical low back pain; radiofrequency denervation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
31
Recensione:
Indirizzi per estratti:
Indirizzo: Ferrante, FM Presbyterian Med Ctr, Pain Med Ctr, Suite 140,Med Off Bldg,39th & Market Sts, Philadelphia, PA 19104 USA Presbyterian Med Ctr Suite 140,Med Off Bldg,39th & Market Sts Philadelphia PA USA 19104
Citazione:
F.M. Ferrante et al., "Radiofrequency sacroiliac joint denervation for sacroiliac syndrome", REG ANES PA, 26(2), 2001, pp. 137-142

Abstract

Background and Objectives: Radiofrequency (RF) denervation of the sacroiliac (SI) joint has been advocated for the treatment of sacroiliac syndrome, yet no clinical studies or case series support its use. Methods: We report the results of a consecutive series of 50 SI joint RF denervations performed in 33 patients with sacroiliac syndrome. All patientsunderwent diagnostic SI joint injections with local anesthetic before denervation. Changes in visual analog pain scores (VAS), pain diagrams, physical examination (palpation tenderness over the joint, myofascial trigger points overlying the joint, SI joint pain provocation tests, and range of motion of the lumbar spine), and opioid use were assessed pre- and postdenervation. Results: The criteria for successful RF denervation were at least a 50% decrease in VAS for a period of at least 6 months; 36.4% of patients (12 of 33) met these criteria. Failure of denervation correlated with the presence of disability determination and pain on lateral flexion to the affected side. The average duration of pain relief was 12.0 +/- 1.2 months in responders versus 0.9 +/- 0.2 months in nonresponders (P less than or equal to .0001). A positive response was associated with an atraumatic inciting event. Successful denervation was associated with a change in the pain diagram and areduction in the pattern of referred pain, a normalization of SI joint pain provocation tests, and a reduction in the use of opioids. Conclusions: This study suggests that RF denervation of the SI joint can significantly reduce pain in selected patients with sacroiliac syndrome for a protracted time period. Moreover, certain abnormal physical findings (i.e., SI joint pain provocation tests) revert to normal for the duration of the analgesia.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/07/20 alle ore 09:36:08