Lumbar facet joint injection in treating low back pain: Radiofrequency denervation versus SHAM procedure. Systematic review.

Citation data:

Journal of orthopaedics, ISSN: 0972-978X, Vol: 15, Issue: 1, Page: 1-8

Publication Year:
2018
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PMID:
29167604
DOI:
10.1016/j.jor.2017.10.001
Author(s):
Al-Najjim, Munnan; Shah, Rohi; Rahuma, Mahmoud; Gabbar, Omar Abdul
Publisher(s):
Elsevier BV
Tags:
Medicine
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article description
The lumbar facet joints have been implicated as one of the causes of low-back pain syndromes. About 15-40% of patients who presented with chronic low-back pain was attributed to lumbar facet joint pain. The purpose of this study was to analyse whether radiofrequency denervation is better than SHAM procedure in treating chronic low-back pain caused by lumbar zygapophysial joints pathology. From the four identified randomised control trials, there is conflicting evidence at an intermediate 3-6-month stage, however; one study demonstrates statistical significance of radiofrequency denervation at 3 months. Longer-term follow-up is needed to prove the efficacy of radiofrequency denervation technique.