Radiofrequency Denervation for Management of Chronic Sacroiliac Joint Pain

Background Data: The largest axial joint in the body is the sacroiliac (SI) joint. Understanding the innervation of the SI joint is essential when contemplating denervation procedures. Current evidence favors lateral branch radiofrequency (RF) lesioning as the most effective treatment option. Moreov...

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Autores principales:	Ahmed Abd El Barr, Khaled Saeed Ebrahim, Sherif Hashim Mourad
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2019
Materias:	Sacroiliac joint chronic back pain radiofrequency denervation. Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/309ce21a55af46e68bfe6ced7bb2af97
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spelling	oai:doaj.org-article:309ce21a55af46e68bfe6ced7bb2af972021-12-02T07:04:25ZRadiofrequency Denervation for Management of Chronic Sacroiliac Joint Pain10.21608/esj.2019.5491.10702314-89502314-8969https://doaj.org/article/309ce21a55af46e68bfe6ced7bb2af972019-04-01T00:00:00Zhttps://esj.journals.ekb.eg/article_43552_9e48329a73afc2aa134691c07d7d00c3.pdfhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: The largest axial joint in the body is the sacroiliac (SI) joint. Understanding the innervation of the SI joint is essential when contemplating denervation procedures. Current evidence favors lateral branch radiofrequency (RF) lesioning as the most effective treatment option. Moreover, it is an alternative treatment for refractory cases of SI joint pain. Purpose: To evaluate the efficacy and safety of percutaneous RF lateral neurotomy of sacroiliac joint in chronic back pain states. Study Design: Clinical prospective study. Patients and Methods: This study was conducted on 30 patients in Ain Shams University hospitals, Department of Neurosurgery, and Ain Shams Specialized Hospital in the period from 2014 to 2016. Patients included 18 females and 12 males in the study diagnosed clinically and radiologically with sacroiliac joint chronic pain. All patients underwent radiofrequency denervation for L5 dorsal branch, S1, S2, and S3 lateral branches of the dorsal primary rami lateral to the dorsal sacral foramina under fluoroscopy using local anesthesia and conscious sedation technique. Results: All patients were followed up at 1-, 3-, 6-, and 12-month intervals regarding pain relief, Visual Analogue Scale (VAS), and Patient Satisfaction Index (PSI) and results were analyzed. There was a significant decrease in pain score after radiofrequency denervation at 1 and 3 months (more than half of VAS after procedure) with high statistical significance. Conclusion: Radiofrequency sacroiliac denervation is a safe and effective procedure in management of chronic sacroiliac joint (SIJ) pain syndrome. The effect regarding pain relief seems to be fading with prolonged time interval after the procedure. Longer duration of follow-up and comparison with other placebo group are recommended for future studies (2019ESJ179). Ahmed Abd El BarrKhaled Saeed EbrahimSherif Hashim MouradEgyptian Spine AssociationarticleSacroiliac jointchronic back painradiofrequencydenervation.Neurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 30, Iss 1, Pp 41-47 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sacroiliac joint chronic back pain radiofrequency denervation. Neurology. Diseases of the nervous system RC346-429
spellingShingle	Sacroiliac joint chronic back pain radiofrequency denervation. Neurology. Diseases of the nervous system RC346-429 Ahmed Abd El Barr Khaled Saeed Ebrahim Sherif Hashim Mourad Radiofrequency Denervation for Management of Chronic Sacroiliac Joint Pain
description	Background Data: The largest axial joint in the body is the sacroiliac (SI) joint. Understanding the innervation of the SI joint is essential when contemplating denervation procedures. Current evidence favors lateral branch radiofrequency (RF) lesioning as the most effective treatment option. Moreover, it is an alternative treatment for refractory cases of SI joint pain. Purpose: To evaluate the efficacy and safety of percutaneous RF lateral neurotomy of sacroiliac joint in chronic back pain states. Study Design: Clinical prospective study. Patients and Methods: This study was conducted on 30 patients in Ain Shams University hospitals, Department of Neurosurgery, and Ain Shams Specialized Hospital in the period from 2014 to 2016. Patients included 18 females and 12 males in the study diagnosed clinically and radiologically with sacroiliac joint chronic pain. All patients underwent radiofrequency denervation for L5 dorsal branch, S1, S2, and S3 lateral branches of the dorsal primary rami lateral to the dorsal sacral foramina under fluoroscopy using local anesthesia and conscious sedation technique. Results: All patients were followed up at 1-, 3-, 6-, and 12-month intervals regarding pain relief, Visual Analogue Scale (VAS), and Patient Satisfaction Index (PSI) and results were analyzed. There was a significant decrease in pain score after radiofrequency denervation at 1 and 3 months (more than half of VAS after procedure) with high statistical significance. Conclusion: Radiofrequency sacroiliac denervation is a safe and effective procedure in management of chronic sacroiliac joint (SIJ) pain syndrome. The effect regarding pain relief seems to be fading with prolonged time interval after the procedure. Longer duration of follow-up and comparison with other placebo group are recommended for future studies (2019ESJ179).
format	article
author	Ahmed Abd El Barr Khaled Saeed Ebrahim Sherif Hashim Mourad
author_facet	Ahmed Abd El Barr Khaled Saeed Ebrahim Sherif Hashim Mourad
author_sort	Ahmed Abd El Barr
title	Radiofrequency Denervation for Management of Chronic Sacroiliac Joint Pain
title_short	Radiofrequency Denervation for Management of Chronic Sacroiliac Joint Pain
title_full	Radiofrequency Denervation for Management of Chronic Sacroiliac Joint Pain
title_fullStr	Radiofrequency Denervation for Management of Chronic Sacroiliac Joint Pain
title_full_unstemmed	Radiofrequency Denervation for Management of Chronic Sacroiliac Joint Pain
title_sort	radiofrequency denervation for management of chronic sacroiliac joint pain
publisher	Egyptian Spine Association
publishDate	2019
url	https://doaj.org/article/309ce21a55af46e68bfe6ced7bb2af97
work_keys_str_mv	AT ahmedabdelbarr radiofrequencydenervationformanagementofchronicsacroiliacjointpain AT khaledsaeedebrahim radiofrequencydenervationformanagementofchronicsacroiliacjointpain AT sherifhashimmourad radiofrequencydenervationformanagementofchronicsacroiliacjointpain
_version_	1718399623312179200

Radiofrequency Denervation for Management of Chronic Sacroiliac Joint Pain

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