AI Article Synopsis
- Traditional radiofrequency ablation (TRFA) and water-cooled radiofrequency ablation (CRFA) are both effective treatments for facet joint-related pain, with CRFA offering potential advantages like larger lesion size and easier access to nerves.
- The study analyzed 346 RFA interventions on 190 patients with chronic low-back pain and found that both treatments achieved significant pain relief, with CRFA showing slightly better results at the first follow-up.
- At the second follow-up, CRFA maintained effectiveness, while TRFA showed improvement but less than CRFA, and pain relief in both groups declined by the third follow-up.
Article Abstract
Traditional radiofrequency ablation (TRFA) effectively treats facet joint-related pain, while water-cooled radiofrequency ablation (CRFA) may offer benefits like larger lesions and easier nerve access. Our goal is to assess the effectiveness of TRFA and CRFA for facet joint-related pain. This retrospective study included an evaluation of 346 RFA interventions performed on 190 patients suffering from long-term low-back pain. The primary outcome was defined as a decrease of ≥50% of the mean numeric rating scale. The primary outcome was achieved at the first follow-up (FU) for both TRFA and CRFA, with pain relief of 55.2 and 60.5%, respectively. At the second FU, the primary outcome was achieved only in the CRFA group (54.1%), although the TRFA group also showed a good improvement (48.6%). In both groups, pain relief was under 50% during the third FU. Our study indicates that both CRFA and TRFA modalities are effective and safe treatments.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11340768 | PMC |
| http://dx.doi.org/10.1080/17581869.2024.2377061 | DOI Listing |
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