小关节骨关节炎的严重程度会影响小关节内侧支射频热凝术的效果吗？
Does the severity of facet joint osteoarthritis affect facet medial branch radiofrequency thermocoagulation results?
作者信息
Sancar Kaya S, Şeref Çelik, Hamit Göksu, Yavuz Akçaboy E, Şaziye Şahin
机构信息
From the Deparment of Pain Medicine (Sancar), Adiyaman University Training and Research Hospital, Adıyaman, from the Deparment of Pain Medicine (Şeref, Yavuz, Şaziye), University of Health Sciences Ankara City Hospital, and from the Deparment of Pain Medicine (Hamit), Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey.
出版信息
Neurosciences (Riyadh). 2025 Apr;30(2):144-149. doi: 10.17712/nsj.2025.30.4.20240037.
OBJECTIVES
To assess how facet medial branch radiofrequency thermocoagulation (FMB-RFT) outcomes are affected by severe facet joint osteoarthritis (FJO).
METHODS
This retrospective study involved 91 individuals with lumbar facet joint disease-related chronic lower back pain (CLBP), all of whom underwent FMB-RFT. The patients were assigned to 3 groups using the Weishaupt facet grading system (WFGS). Pain scores were assessed prior to treatment, as well as at the 1-, 6-, and 12-month marks.
RESULTS
Based on the WFGS, 38 of the 91 patients were assigned a grade 1 FJO, 28 a grade 2 FJO, and 25 a grade 3 FJO. The percentage of patients in each group who saw a 50% or greater improvement in their pain scores at 1, 6, and 12 months did not differ significantly.
CONCLUSION
For patients with CLBP, FMB-RFT has been shown to be safe and effective in both the short and long terms. The results from FMB-RFT do not seem to be affected by the severity of FJO.
目的
评估严重小关节骨关节炎（FJO）如何影响小关节内侧支射频热凝术（FMB-RFT）的疗效。
方法
这项回顾性研究纳入了91例与腰椎小关节疾病相关的慢性下腰痛（CLBP）患者，所有患者均接受了FMB-RFT治疗。采用魏绍普小关节分级系统（WFGS）将患者分为3组。在治疗前以及治疗后1个月、6个月和12个月时评估疼痛评分。
结果
根据WFGS，91例患者中，38例被评为1级FJO，28例为2级FJO，25例为3级FJO。每组中在1个月、6个月和12个月时疼痛评分改善50%或更多的患者百分比无显著差异。
结论
对于CLBP患者，FMB-RFT已被证明在短期和长期内都是安全有效的。FMB-RFT的结果似乎不受FJO严重程度的影响。
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