Giglio Mariateresa, Farì Giacomo, Preziosa Angela, Corriero Alberto, Grasso Salvatore, Varrassi Giustino, Puntillo Filomena
Anaesthesia, Intensive Care and Pain Unit, Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", Piazza G. Cesare 11, 70124, Bari, Italy.
Department of Translational Biomedicine and Neuroscience (DiBraiN), Aldo Moro University, 70121, Bari, Italy.
Pain Ther. 2023 Jun;12(3):879-884. doi: 10.1007/s40122-023-00489-y. Epub 2023 Mar 16.
Chronic low back pain is often due to L5S1 instability resulting in facet joint syndrome. Patients suffering from low back pain may also have a gait pattern characterized by a reduced speed and a shorter, asymmetrical step in order to reduce pain. This case is of a patient with L5S1 instability that occurred after L1 to L5 lumbar stabilization who was treated with radiofrequency (RF) denervation of the medial branch of L5S1 bilaterally. RF ablation outcome was tested by comparing its impact on pain, function, quality of life, and on gait pattern, before and 1 month after the procedure. To objectify the impact of a good pain control on gait, a video recording was performed (see Video 1).
慢性下腰痛通常是由于L5S1不稳定导致小关节综合征。患有下腰痛的患者可能还具有一种步态模式，其特征为速度降低以及步幅较短且不对称，以减轻疼痛。该病例为一名L1至L5腰椎稳定术后发生L5S1不稳定的患者，接受了双侧L5S1内侧支射频去神经治疗。通过比较手术前和术后1个月射频消融对疼痛、功能、生活质量以及步态模式的影响，来测试其治疗效果。为了客观评估良好的疼痛控制对步态的影响，进行了视频记录（见视频1）。
