The impacts of facet radiofrequency and/or transforaminal steroid injection on level of pain, life quality and degree of depression in patients with chronic low back pain: A retrospective study.

Faruk Altaş, Ayten Bilir, Meryem Onay
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Abstract

Objectives: Low back pain is a widespread medical condition seen in middle-aged and elderly individuals, causing labor loss, high treatment costs, depression, and poor life quality. This study aimed to investigate pain levels, life quality, and depression in patients undergoing facet radiofrequency (RF) and/or transforaminal epidural steroid injection (TFESI) for the treatment of chronic low back pain (CLBP).

Methods: The records of 51 patients with low back pain lasting more than three months who underwent interventional procedures for pain management were reviewed retrospectively. Patient data including age, sex, type of interventional treatment, visual analog scale (VAS) scores before and after the procedure, SF-36 life quality scores, and Beck Depression Scale (BDS) scores were obtained from patient tracking forms and the hospital information system.

Results: A total of 51 patients (35 males, 16 females) who received interventional treatment were included in the study. The mean age of the patients was 48.37±13 years. Patients underwent facet RF (n=14), TFESI (n=23), or both procedures combined (n=14). Compared to pre-procedure values, VAS and BDS scores at the third and sixth months were significantly lower (p<0.05), while SF-36 life quality scores were significantly higher (p<0.05). No significant difference was observed between the third and sixth months (p>0.05).

Conclusion: In chronic low back pain, interventional treatments such as facet RF and/or TFESI were found to reduce pain and depression levels and improve life quality.

关节突射频和/或经椎间孔类固醇注射对慢性腰痛患者疼痛水平、生活质量和抑郁程度的影响:一项回顾性研究
目的:腰痛是中老年人群普遍存在的一种疾病,可导致劳动损失、治疗费用高、抑郁和生活质量差。本研究旨在探讨接受小关节面射频(RF)和/或经椎间孔硬膜外类固醇注射(TFESI)治疗慢性腰痛(CLBP)患者的疼痛水平、生活质量和抑郁。方法:回顾性分析51例持续3个月以上腰痛患者行介入治疗的临床资料。患者数据包括年龄、性别、介入治疗类型、术前、术后视觉模拟量表(VAS)评分、SF-36生活质量评分、贝克抑郁量表(BDS)评分。结果:51例接受介入治疗的患者(男35例,女16例)纳入研究。患者平均年龄48.37±13岁。患者接受小关节面射频治疗(n=14), TFESI治疗(n=23),或两种手术联合治疗(n=14)。与术前比较,术后第3、6个月VAS、BDS评分均显著降低(p0.05)。结论:在慢性腰痛患者中,小关节面射频和/或TFESI等介入治疗可减轻疼痛和抑郁水平,改善生活质量。
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