Pacetti Mattia, Fiaschi Pietro, Gennaro Sergio
School of Neurosurgery, IRCCS Ospedale San Martino- IST, Università di Torino, Università degli studi di Genova, Genoa, Italy.
U.O. Neurochirurgia, IRCCS Ospedale San Martino- IST, Genoa, Italy.
Acta Neurochir (Wien). 2016 May;158(5):995-8. doi: 10.1007/s00701-016-2759-7. Epub 2016 Mar 15.
Low back pain is an extremely common and often chronic condition. In some cases, this is due to an irritative arthropathy of zygapophyseal joint involving the medial branch of the dorsal ramus of the spinal nerve. Percutaneous radiofrequency thermocoagulation appears to be the most effective treatment to date, among a range of different treatments. In this paper, the technique is described as performed at out institution.
In supine position and under fluoroscopic control, a radiofrequency electrode is inserted into different articular zygapophyseal complexes to thermocoagulate ramifications of the medial branch of the dorsal primary ramus of the spinal nerve.
Fluoroscopic-guided percutaneous radiofrequency thermocoagulation of dorsal rami branches is a safe and reliable technique for the treatment of lumbar facet syndrome. Careful selection of patients based on clinical presentation and positive anesthetic block test are key points for an optimum outcome.
腰痛是一种极为常见且往往为慢性的病症。在某些情况下，这是由于涉及脊神经后支内侧支的关节突关节刺激性关节病所致。在一系列不同的治疗方法中，经皮射频热凝术似乎是迄今为止最有效的治疗方法。在本文中，将描述在我们机构所施行的该技术。
患者仰卧位，在透视控制下，将射频电极插入不同的关节突关节复合体，以热凝脊神经后支内侧支的分支。
透视引导下经皮射频热凝脊神经后支是治疗腰椎小关节综合征的一种安全可靠的技术。根据临床表现和阳性麻醉阻滞试验仔细选择患者是获得最佳疗效的关键。
