Mazin David A, Sullivan Joseph P
Department of Orthopedics & Physical Rehabilitation, UMass Memorial Medical Center, 119 Belmont Street, Worcester, MA 01605, USA.
Phys Med Rehabil Clin N Am. 2010 Nov;21(4):843-50. doi: 10.1016/j.pmr.2010.06.010. Epub 2010 Aug 7.
Radiofrequency (RF) neurotomy is an interventional procedure used to alleviate certain types of low back pain. RF energy is used to thermally coagulate the specific nerves that transmit pain signals. Recent evidence has shown that this procedure demonstrates significant efficacy in relieving low back pain in lumbar zygapophysial joints, and research is ongoing to determine if pain relief for the sacroiliac joint is also possible. This article provides an evidence-based background for performing RF neurotomy, discusses the relevant anatomy, and highlights the indications and technique for lumbar and sacral RF neurotomy.
射频神经切断术是一种用于缓解某些类型下背痛的介入性手术。射频能量用于热凝传递疼痛信号的特定神经。最近的证据表明，该手术在缓解腰椎小关节下背痛方面显示出显著疗效，并且正在进行研究以确定对骶髂关节疼痛是否也能缓解。本文为进行射频神经切断术提供了循证背景，讨论了相关解剖结构，并重点介绍了腰骶部射频神经切断术的适应症和技术。
