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Journals / Journal of Turkish Spinal Surgery / 2013 / Cilt: 24 - Sayı: 3

Comparison of facet denervation with facet joint injection for treatment of chronic low back pain

Kronik bel ağrısı tedavisinde faset eklem denervasyonu ile faset enjeksiyonunun karşılaştırılması

SELÇUK ÖZDOĞAN
Ali Haluk DÜZKALIR
İsmail İŞTEMEN
Pages
219–222
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Patient selection and treating the exact anatomical part was maintained the points to get better results.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: The aim of our study is to compare the results of the patients who are treatd with facet injection or facet denervation with radiofrequency thermocoagulation according to their numerical pain score.
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Key Findings & Data:Material Methods: 28 patients who were treated by facet denervation with radiofrequency thermocoagulation in Muş State Hospital were inspected retrospectively.
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Conclusion & Impact:Patient selection and treating the exact anatomical part was maintained the points to get better results.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Purpose: The aim of our study is to compare the results of the patients who are treatd with facet injection or facet denervation with radiofrequency thermocoagulation according to their numerical pain score. Material Methods: 28 patients who were treated by facet denervation with radiofrequency thermocoagulation in Muş State Hospital were inspected retrospectively. Physical examination finding were local tenderness of lumbar region and pain with the movements of rotation and hyperextension. Numerical pain score was used for evaluation of pain 0 to 10. Zero is defining no pain and ten is the worst pain. Results: The rate was at the end of first month and 71 % for the third month with the treatment of facet denervation. The mean was 50 % at the end of the first month and was decreased to 20 % for the third month with the treatment of facet injection. Conclusion: When compare facet injection with facet denervation, facet denervation with radiofrequency thermocoagulation is more effective minimal invasive treatment. Patient selection and treating the exact anatomical part was maintained the points to get better results.

Özet

Amaç: Çalışmamızın amacı, faset eklem enjeksiyonu uygula- nan hastalar ile faset denervasyonu uygulanan hastaların ağrı skorlarının karşılaştırılması sonucu hangi işlemin daha etkin olduğunu araştırmaktır. Materyal-Metod: Muş Devlet Hastanesi’nde kronik bel ağrısı nedeni ile faset enjeksiyonu yapılmış 28 hasta ve radyofre- kans termokoagülasyon ile faset denervasyonu uygulanmış 28 hasta retrospektif olarak incelendi. Hastalarda fizik mua- yene bulgusu olarak palpasyon ile lomber bölgede hassasiyet ve rotasyon ve hiperekstansiyon hareketlerinde ağrı saptandı. Hastalarda nörolijik defisit saptanmadı. Kronik bel ağrısı nu- maralandırılmış ağrı skorlaması ile 0-10 değerleri arasında, 0 hiç ağrı yok ve 10 en yüksek ağrı şeklinde tanımlanarak skor- landı. Hastalar işlemler sonrası 1. ay ve 3. ay kontrollere çağrıla- rak tekrar skorlamaları yapıldı. Sonuçlar: Faset denervasyonu uygulanan hastaların 1 aylık takipleri sonucu ağrı skorlarına göre şikayetlerinin % 58, 3 ay sonrasında % 71 oranında azaldığı görülmüştür. Faset enjeksi- yonu yapılan hastalarda ise 1. ay sonunda ağrı azalma değişim değeri % 50 iken 3. ay sonundaki değer % 20 ye gerilemiştir. Çıkarım: Radyofrekans termokoagülasyon ile faset dener- vasyonu faset eklem enjeksiyonu ile karşılaştırıldığında daha etkin bir minimal girişimsel tedavi seçeneğidir. Doğru hasta seçimini ve işlemi doğru anatomik noktaya uygulamak başarı oranında etkin olan faktörlerdir.

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Cite This Article

ÖZDOĞAN, S., DÜZKALIR, A. H., İŞTEMEN, İ. (2013). Comparison of facet denervation with facet joint injection for treatment of chronic low back pain. Journal of Turkish Spinal Surgery, Cilt: 24 - Sayı: 3, 219–222. https://ajindex.com/articles/215569

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