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.
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)
