Eldabe Sam, Tariq Anisah, Nath Sherdil, Gulve Ashish, Antrobus Hugh, Baloch Mohjir, Buczkowski Piotr, Collighan Neil, Fernandez Tacson, Fritz Ann-Katrin, Humble Stephen, Huygen Frank, Krishnan Murali, Mehta Vivek, Mishra Sailesh, Muthukrishnan Sundar, Snidvongs Saz, Tamosauskas Rokas, Underwood Martin
Pain Management, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK.
Umeå, Sweden.
Br J Pain. 2020 Feb;14(1):47-56. doi: 10.1177/2049463719840053. Epub 2019 Apr 3.
Radiofrequency denervation is used to treat selected people with low back pain. Recent trials have been criticised for using a sub-optimal intervention technique.
To achieve consensus on a best practice technique for administering radiofrequency denervation of the lumbar facet joints to selected people with low back pain.
A consensus of expert professionals in the area of radiofrequency denervation of the lumbar facet joints.
We invited a clinical member from the 30 most active UK departments in radiofrequency pain procedures and two overseas clinicians with specific expertise to a 1 day consensus meeting. Drawing on the known anatomy of the medial branch, the theoretical basis of radiofrequency procedures, a survey of current practice and collective expertise, delegates were facilitated to reach consensus on the best practice technique.
The day was attended by 24 UK and international clinical experts. Attendees agreed a best practice technique for the conduct of radiofrequency denervation of the lumbar facet joints.
This consensus was based on a 1 day meeting of 24 clinical experts who attended and took part in the discussions. The agreed technique has not been subject to input from a wider community of experts.
Current best practice for radiofrequency denervation has been agreed for use in a UK trial. Group members intend immediate implementation in their respective trusts. We propose using this in a planned Randomised Controlled Trial (RCT) of radiofrequency denervation for selected people with low back pain.
射频去神经术用于治疗特定的腰痛患者。近期的试验因采用了次优的干预技术而受到批评。
就对特定腰痛患者进行腰椎小关节射频去神经术的最佳实践技术达成共识。
腰椎小关节射频去神经术领域的专家专业人士达成的共识。
我们邀请了英国30个最活跃的进行射频疼痛治疗的科室的一名临床成员以及两名具有特定专业知识的海外临床医生参加为期1天的共识会议。借鉴内侧支的已知解剖结构、射频手术的理论基础、当前实践的调查结果以及集体专业知识，促使与会代表就最佳实践技术达成共识。
24名英国和国际临床专家参加了当天的会议。与会者就进行腰椎小关节射频去神经术的最佳实践技术达成了一致。
这一共识基于24名参加并参与讨论的临床专家举行为期1天的会议。商定的技术尚未得到更广泛专家群体的意见。
已就射频去神经术的当前最佳实践达成一致，用于英国的一项试验。小组成员打算立即在各自的信托机构中实施。我们建议在一项针对特定腰痛患者的射频去神经术的计划随机对照试验（RCT）中使用此方法。
