Bernardes Anna Luisa Paiva Romano, Correa Renato Ferraz, Trajano Larissa Alexsandra da Silva Neto, Fontes Iberico Alves
Curso de Medicina na Universidade de Vassouras, Vassouras, RJ, Brasil.
Curso de Educação Física da Universidade de Vassouras, Vassouras, RJ, Brasil.
Rev Bras Ortop (Sao Paulo). 2023 May 25;58(2):199-205. doi: 10.1055/s-0043-1768695. eCollection 2023 Apr.
Lumbar facet syndrome stands out as a significant cause for the increasing prevalence of back pain complaints. Alternatives such as radiofrequency (RF) ablation may be a therapeutic option to relieve the chronic pain associated with this condition. It is critical to analyze the effectiveness of lumbar facet syndrome treatment using the traditional RF ablation technique and the relief generated by it in chronic low back pain (CLBP). This study is a systematic review using the following inclusion criteria: title, observational studies, clinical trials, controlled clinical trials, clinical studies, and publications over the last 17 years (from 2005 to 2022). The exclusion criteria included papers addressing other themes and review articles. The databases used for data collection included the Medical Literature Analysis and Retrieval System Online (Medline), PubMed, Scientific Electronic Library Online (SciELO), Lilacs, and (Virtual Health Library in Portuguese). The query used the following terms: facet, pain, lumbar, and radiofrequency. The application of these filters yielded 142 studies, and 12 were included in this review. Most studies indicated that the traditional RF ablation technique was beneficial in relieving CLBP refractory to conservative treatment.
腰椎小关节综合征是背痛主诉患病率不断上升的一个重要原因。诸如射频(RF)消融等替代疗法可能是缓解与此病症相关的慢性疼痛的一种治疗选择。分析传统射频消融技术治疗腰椎小关节综合征的有效性及其对慢性下腰痛(CLBP)的缓解作用至关重要。本研究是一项系统评价,采用以下纳入标准:标题、观察性研究、临床试验、对照临床试验、临床研究以及过去17年(2005年至2022年)的出版物。排除标准包括涉及其他主题的论文和综述文章。用于数据收集的数据库包括医学文献分析与检索系统在线数据库(Medline)、PubMed、科学电子图书馆在线数据库(SciELO)、Lilacs以及(葡萄牙语虚拟健康图书馆)。查询使用了以下术语:小关节、疼痛、腰椎和射频。应用这些筛选条件产生了142项研究,本综述纳入了其中12项。大多数研究表明,传统射频消融技术有助于缓解对保守治疗无效的CLBP。