Biswas Binay Kumar, Dey Samarjit, Biswas Saumya, Mohan Varinder Kumar
Department of Anesthesiology, Pain and Perioperative Medicine, ESI-Post Graduate Institute of Medical Sciences and Research, Maniktala, Kolkata, West Bengal, India.
Department of Anesthesiology, Pain and Perioperative Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.
J Anaesthesiol Clin Pharmacol. 2016 Oct-Dec;32(4):525-527. doi: 10.4103/0970-9185.168261.
Sacroiliac (SI) joint dysfunction is a common source of chronic low-back pain. Recent evidences from different parts of the world suggest that cooled radiofrequency (RF) neuroablation of sacral nerves supplying SI joints has superior pain alleviating properties than available existing treatment options for SI joint dysfunctional pain. A 35-year-old male had intractable bilateral SI joint pain (numeric rating scale [NRS] - 9/10) with poor treatment response to intra-articular steroid therapy. Bilateral water cooled = RF was applied for neuroablation of nerves supplying both SI joints. Postprocedure pain intensity was 5/10 and after 7 days it was 2/10. On 18-month follow-up, he is pain free except for mild pain (NRS 2/10) on occasional extreme twisting of the back. This case attempts to highlight that sacral neuroablation based on cooled RF technique can be a long lasting remedial option for chronic SI joint pain unresponsive to conventional treatment.
骶髂关节功能障碍是慢性下腰痛的常见原因。来自世界各地的最新证据表明，对供应骶髂关节的骶神经进行冷射频神经消融术，在缓解疼痛方面比现有的骶髂关节功能障碍性疼痛治疗方案更具优势。一名35岁男性患有顽固性双侧骶髂关节疼痛（数字评定量表[NRS]为9/10），关节内注射类固醇治疗反应不佳。对供应双侧骶髂关节的神经进行了双侧水冷射频神经消融术。术后疼痛强度为5/10，7天后为2/10。在18个月的随访中，除了偶尔背部极度扭转时出现轻度疼痛（NRS 2/10）外，他没有疼痛。本病例旨在强调，基于冷射频技术的骶神经消融术对于对传统治疗无反应的慢性骶髂关节疼痛可能是一种持久的治疗选择。
