一种改进的疼痛疗法治疗老年人胸椎压缩性骨折:胸椎小关节冷却射频消融

Pain Management Case Reports Pub Date : 1900-01-01 DOI:10.36076/pmcr.2019/3/99

Y. Wen

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引用次数: 0

摘要

我们报告了2例急性和陈旧性胸椎压缩性骨折和持续性背部疼痛的替代疗法。一名94岁的女性，患有多种合并症，急性胸椎压缩性骨折引起剧烈疼痛。另一名患者为89岁男性，老年性胸椎压缩性骨折2年。两例患者均不能通过保守治疗获得满意的止痛效果。手术干预也未被考虑。冷却射频消融应用于两例患者的胸小关节。2例患者术后背部疼痛明显改善。胸椎小关节冷却射频消融术可作为缓解胸椎压缩性骨折相关疼痛的一种治疗方法。关键词:压缩性骨折，胸椎，冷却射频去神经支配，面关节，合并症

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A Modified Pain Therapy for Thoracic Compression Fracture in the Elderly: Cooled Radiofrequency Ablat ion at Thoracic Facet Joints

We reported an alternative therapy for 2 cases respectively with acute and old thoracic compression fracture and persistent back pain. A 94-yearold woman who had multiple comorbidities suffered from severe pain that was caused by an acute thoracic spine compression fracture. The other patient was an 89-year-old man with an old thoracic compression fracture for 2 years. Neither of them could have satisfactory pain relief by the conservative treatments. Surgical intervention was also not considered. Cooled radiofrequency ablation was applied to both patients’ thoracic facet joints. The 2 patients’ back pain improved considerably after the ablation. Cooled radiofrequency ablation over thoracic facet joints could be a pain management alternative for relieving thoracic compression fracture-related pain. Key words: Compression fracture, thoracic vertebra, cooled radiofrequency denervation, facet joint, comorbidity

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Pain Management Case Reports

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