Medical College of Yanbian University, No. 977 Gong Yuan Road, Yanji, Jilin Province, China.
Department of Anatomy, Medical College of Yanbian University, Yanji, Jilin Province, China.
Curr Pain Headache Rep. 2024 Jul;28(7):699-708. doi: 10.1007/s11916-024-01241-7. Epub 2024 Mar 25.
Lumbar facet pain is generally considered to be one of the major causes of chronic low back pain. Each lumbar facet joint is innervated by the medial branch of the posterior spinal nerve from its own level and above. Radiofrequency (RF) of the medial branch of the posterior branch of the spinal nerve is an effective method for the treatment of lumbar facet pain. RF technology is diverse, including traditional radiofrequency (TRF), pulsed radiofrequency (PRF), cooled radiofrequency (CRF), low-temperature plasma radiofrequency ablation (CA), and other treatment methods. The purpose of this paper is to compare the efficacy of different radiofrequency techniques and to analyze the reasons for this in the context of anatomy.
There have been studies confirming the differences in efficacy of different RF techniques. However, most of the studies only compared two RF techniques, not four techniques, TRF, CRF, PRF, and CA, and did not analyze the reasons for the differences in efficacy. This article reviews the differences in the efficacy of the above four RF techniques, clarifies that the differences are mainly due to the inability to precisely localize the medial branch of the posterior branch of the spinal nerve, analyzes the reasons for the inability to precisely localize the posterior branch of the spinal nerve in conjunction with anatomy, and proposes that the development of RF technology for lumbar facet pain requires more in-depth anatomical, imaging, and clinical studies.
腰椎小关节痛通常被认为是慢性下腰痛的主要原因之一。每个腰椎小关节都由来自同一水平及其以上节段的脊神经后支内侧支支配。脊神经后支内侧支射频（RF）是治疗腰椎小关节痛的有效方法。RF 技术多种多样，包括传统射频（TRF）、脉冲射频（PRF）、冷却射频（CRF）、低温等离子射频消融（CA）等治疗方法。本文旨在比较不同 RF 技术的疗效，并结合解剖学分析其原因。
已有研究证实了不同 RF 技术疗效的差异。然而，大多数研究仅比较了两种 RF 技术，而不是四种技术，即 TRF、CRF、PRF 和 CA，并且没有分析疗效差异的原因。本文综述了上述四种 RF 技术疗效的差异，阐明疗效差异主要归因于无法精确定位脊神经后支内侧支，结合解剖学分析无法精确定位脊神经后支的原因，并提出治疗腰椎小关节痛的 RF 技术的发展需要更深入的解剖学、影像学和临床研究。
