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作者 Burnham RS, Yasui Y. 【文题 An alternate method of radiofrequency neurotomy of the sacroiliac joint: a pilot study of the effect on pain, function, and satisfaction. 【期刊名，年份，卷（期），起止页码(必填)】Reg Anesth Pain Med. 2007 Jan-Feb;32(1):12-9. |
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zq20051215
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An alternate method of radiofrequency neurotomy of the sacroiliac joint: A pilot study of the effect on pain, function, and satisfaction 更多选项 作者: Burnham RS (Burnham, Robert S.), Yasui Y (Yasui, Yutaka) 来源出版物: REGIONAL ANESTHESIA AND PAIN MEDICINE 卷: 32 期: 1 页: 12-19 出版年: JAN-FEB 2007 被引频次: 8 参考文献: 24 引证关系图 摘要: Background and objectives: The sacroiliac joint (SIJ) can be a source of chronic refractory mechanical spine pain. Few previous studies have described radiofrequency (RF) sensory denervation of the SIJ; results have been inconsistent and technically demanding. This uncontrolled, prospective, cohort study evaluates the effects of an innovative method of RF ablation of the posterior sensory nerves of the SIJ on pain, analgesic use, disability, and satisfaction of patients suffering with chronic mechanical SIJ pain. Methods: Nine Subjects with SIJ pain, confirmed by a local anesthetic joint block, were studied. Subjects were treated with a series of RF strip lesions performed adjacent to the lateral dorsal foraminal aperture Plus conventional monopolar lesioning at the L5 dorsal ramus. Each subject completed a questionnaire twice before and at 1, 3, 6, 9, and 12 months after the procedure. The questionnaire evaluated pain intensity and frequency, analgesic intake, disability, satisfaction (with Current pain level and the RF procedure), and procedure complications. Data were analyzed by using linear mixed model analysis. Results: After the procedure, significant reductions of back and leg pain frequency and severity, analgesic intake, and dissatisfaction with their current level of pain occurred. Complications were minimal. overall, 8 of 9 Subjects were satisfied with the procedure. Conclusions: RF sensory ablation of the SIJ using bipolar strip lesions is a technically uncomplicated and low-risk procedure. The resulting effects on pain, disability, and satisfaction are promising. Further evaluation of this technique, including randomized controlled trials, is recommended. 文献类型: Article 语言: English 作者关键词: radiofrequency neurotomy; sacroiliac joint KeyWords Plus: LOW-BACK-PAIN; INJECTION ARTHROGRAPHY TECHNIQUE; REFERRAL MAPS; LUMBAR SPINE; DENERVATION; DIAGNOSIS; OUTCOMES; TESTS 通讯作者地址: Burnham, RS (通讯作者), , 1 6220-Highway 2A, Lacombe, AB T4L 2G5 Canada 地址: 1. Univ Alberta, Div Phys Med & Rehabil, Edmonton, AB T6G 2M7 Canada 2. Univ Alberta, Sch Publ Hlth, Dept Publ Hlth Sci, Edmonton, AB T6G 2M7 Canada 电子邮件地址: rburnham@telusplanet.net 出版商: W B SAUNDERS CO-ELSEVIER INC, 1600 JOHN F KENNEDY BOULEVARD, STE 1800, PHILADELPHIA, PA 19103-2899 USA IDS 号: 123QT ISSN: 1098-7339 DOI: 10.1016/j.rapm.2006.08.008 |
3楼2009-12-20 19:30:46
dlbrians
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2楼2009-12-20 15:21:52