Intraosseous Radiofrequency Ablation of the Basivertebral Nerve in Chronic Low Back Pain: A Meta-Analysis  

作　　者：Alistair J. Loan David C. Kieser Alistair J. Loan;David C. Kieser(Radiology Department, Canterbury District Health Board, Christchurch, New Zealand;Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch, New Zealand)

机构地区：[1]Radiology Department, Canterbury District Health Board, Christchurch, New Zealand [2]Department of Orthopaedic Surgery and Musculoskeletal Medicine, University of Otago, Christchurch, New Zealand

出　　处：《Open Journal of Radiology》2021年第3期81-90,共10页放射学期刊（英文）

摘　　要：<strong>Purpose:</strong> To review the literature on the value of basivertebral nerve abla-tion in the treatment of chronic low back pain. <strong>Materials and Method:</strong> A systematic review and meta-analysis of the English literature to March 2020 was undertaken. The inclusion criteria were patients with discogenic back pain of more than 3 months duration with modic type 1 or 2 change and suc-cessful disc block or discogram. Primary outcomes were VAS pain, ODI, EQ-5D and SF36 improvement. Secondary outcomes were complications. <strong>Results:</strong> 6 studies were included, all funded by the same company, but oth-erwise of low bias. All studies showed significant improvement in all scores over the first 3 months with evidence these would be maintained over the longer term. There was one reported compression fracture, but otherwise no significant adverse events. <strong>Conclusion:</strong> This study supports the conclusion that radiofrequency ablation of the basivertebral nerve is a safe and effective treatment for discogenic chronic low back pain.<strong>Purpose:</strong> To review the literature on the value of basivertebral nerve abla-tion in the treatment of chronic low back pain. <strong>Materials and Method:</strong> A systematic review and meta-analysis of the English literature to March 2020 was undertaken. The inclusion criteria were patients with discogenic back pain of more than 3 months duration with modic type 1 or 2 change and suc-cessful disc block or discogram. Primary outcomes were VAS pain, ODI, EQ-5D and SF36 improvement. Secondary outcomes were complications. <strong>Results:</strong> 6 studies were included, all funded by the same company, but oth-erwise of low bias. All studies showed significant improvement in all scores over the first 3 months with evidence these would be maintained over the longer term. There was one reported compression fracture, but otherwise no significant adverse events. <strong>Conclusion:</strong> This study supports the conclusion that radiofrequency ablation of the basivertebral nerve is a safe and effective treatment for discogenic chronic low back pain.

关 键 词：Basivertebral Nerve Radiofrequency Ablation Chronic Back Pain Discogenic Back Pain Modic Type Changes 

分 类 号：R68[医药卫生—骨科学]