Panteli Emily A, Calodney Aaron K
Stryker Instruments, Portage, MI.
Precision Spine Care, Tyler, TX.
Pain Med Case Rep. 2025 Jun;9(3):169-174.
Lumbar facet joint (FJ) arthropathy is a common source of low back pain (LBP). This study assesses the efficacy of radiofrequency ablation (RFA) using Stryker's MultiGen 2 RF Generator combined with the Venom 18G cannula and electrode system for treating FJ-mediated LBP.
In this prospective, single-center case series, patients obtaining ≥ 80% improvement in pain after 2 medial branch blocks underwent RFA. Follow-ups were 1-, 3-, 6-, and 12-month post-RFA. Outcomes were the Visual Analog Scale (VAS), Oswestry Disability Index (ODI), Roland-Morris Disability Questionnaire (RMDQ), medications consumed, and adverse events (AEs). Nineteen patients were treated with RFA. Mean VAS, ODI, and RMDQ scores significantly decreased one-month postprocedure, and improvements were sustained to 12 months post-RFA. Patients' analgesic consumption remained stable. No procedure- or device-related AEs occurred.
This study highlights the effectiveness of RFA for treating FJ-mediated LBP. Significant improvements were observed rapidly and were sustained for the entire study.
腰椎小关节(FJ)病是下腰痛(LBP)的常见病因。本研究评估了使用史赛克公司的MultiGen 2射频发生器结合毒液18G套管和电极系统进行射频消融(RFA)治疗FJ介导的LBP的疗效。
在这个前瞻性单中心病例系列中,接受2次内侧支阻滞术后疼痛改善≥80%的患者接受了RFA治疗。随访时间为RFA术后1个月、3个月、6个月和12个月。观察指标包括视觉模拟评分法(VAS)、Oswestry功能障碍指数(ODI)、罗兰-莫里斯残疾问卷(RMDQ)、药物消耗情况以及不良事件(AE)。19例患者接受了RFA治疗。术后1个月,VAS、ODI和RMDQ平均评分显著降低,且这些改善持续至RFA术后12个月。患者的镇痛药消耗量保持稳定。未发生与手术或设备相关的不良事件。
本研究强调了RFA治疗FJ介导的LBP的有效性。在整个研究过程中,观察到疼痛迅速且显著改善,并持续存在。