Radiofrequency ablation of the sinuvertebral nerve for patients with discogenic low back pain following lumbar interbody fusion: a case series study.

IF 2.7 3区医学 Q2 CLINICAL NEUROLOGY

Frontiers in Neurology Pub Date : 2025-04-22 eCollection Date: 2025-01-01 DOI:10.3389/fneur.2025.1539971

Lijie Wang, Jie Lu, Hongyan Wang, Liangliang He, Zhi Dou, Wenxing Zhao, Song Yang, Dong Liu, Liqiang Yang

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Abstract

Background: This study aimed to investigate the clinical value of radiofrequency ablation (RFA) of the sinuvertebral nerve (SVN) in the treatment of discogenic low back pain (DLBP) following lumbar interbody fusion.

Methods: A total of 12 patients who underwent RFA of the SVN for DLBP after lumbar interbody fusion at the Pain Department of Xuanwu Hospital of Capital Medical University from February 2023 to August 2023 were included in this retrospective study.

Results: In total, 12 patients with DLBP were included. The preoperative visual analog scale (VAS) score was 7.00(6.00, 7.75), while the postoperative VAS score at 1 day, 1 month, and 3 months was 1.00 (1.00, 1.00). This represented a statistically significant improvement compared to the preoperative period (all p = 0.002). The preoperative Pittsburgh Sleep Quality Index (PSQI) score was 14.42 ± 1.83, and the postoperative PSQI scores at 1 month and 3 months were 4.75 ± 1.06 and 2.17 ± 1.11, respectively (all p < 0.001).

Conclusion: RFA of the SVN provides satisfactory short-term clinical results in patients with DLBP following lumbar interbody fusion. It appears to be an effective treatment for patients with DLBP who have poor outcomes after open lumbar spine surgery.

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椎间神经射频消融术治疗腰椎间盘源性腰痛：病例系列研究

背景：本研究旨在探讨椎神经射频消融（RFA）治疗腰椎椎体间融合术后椎间盘源性腰痛（DLBP）的临床价值。方法：回顾性分析首都医科大学宣武医院疼痛科2023年2月至2023年8月12例腰椎椎间融合术后行SVN射频消融治疗DLBP的患者。结果：共纳入12例DLBP患者。术前视觉模拟评分（VAS）为7.00(6.00,7.75)，术后1 天，1 个月，3 个月VAS评分为1.00（1.00,1.00）。与术前相比，这在统计学上有显著改善（p均 = 0.002）。术前匹兹堡睡眠质量指数(PSQI)得分是14.42 ±1.83 ,和术后PSQI得分1 月和3 月4.75 ±  1.06和2.17±1.11 ,分别(所有p 结论:RFA的SVN提供满意的短期临床效果DLBP患者椎体间融合术。对于开放性腰椎手术后预后不佳的DLBP患者，它似乎是一种有效的治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Frontiers in Neurology CLINICAL NEUROLOGYNEUROSCIENCES -NEUROSCIENCES

CiteScore

4.90

自引率

8.80%

发文量

2792

审稿时长

14 weeks

期刊介绍： The section Stroke aims to quickly and accurately publish important experimental, translational and clinical studies, and reviews that contribute to the knowledge of stroke, its causes, manifestations, diagnosis, and management.