Endoscopic Facet Joint Denervation on the Lumbar Spine: A Retrospective Analysis
Study Design This single-center retrospective study analyzed patients with chronic low back pain (CLBP) who underwent endoscopic facet joint denervation (EFJD) between April 2018 and May 2019. Purpose This study was designed to investigate the effectiveness of EFJD in treating CLBP. Overview of Lite...
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2023-04-01
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| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-2021-0150.pdf |
| _version_ | 1797835725404635136 |
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| author | Franziska Wallscheid Maximilian Manthey Jerome Olsen Stavros Oikonomidis Carolin Meyer Peer Eysel Lars Löhrer Jan Bredow |
| author_facet | Franziska Wallscheid Maximilian Manthey Jerome Olsen Stavros Oikonomidis Carolin Meyer Peer Eysel Lars Löhrer Jan Bredow |
| author_sort | Franziska Wallscheid |
| collection | DOAJ |
| description | Study Design This single-center retrospective study analyzed patients with chronic low back pain (CLBP) who underwent endoscopic facet joint denervation (EFJD) between April 2018 and May 2019. Purpose This study was designed to investigate the effectiveness of EFJD in treating CLBP. Overview of Literature CLBP is a challenging burden to healthcare systems worldwide. As up to 45% of cases originate from the lumbar facet joints, sufficient therapy strategies must be developed. EFJD offers a precise depiction of the dorsal medial ramus and the facet joint capsule. Methods In this study, 64 patients who underwent EFJD were included. The main outcome of interest was patients’ Visual Analog Scale (VAS) pain score, which was recorded at 3-time points (i.e., before operation and 6 weeks and 12 months after surgery). Results EFJD effectively reduced the VAS pain scores by 58% in the short term (6 weeks) and 38% in the long term (12 months). Patients with isolated facet joint osteoarthritis benefited more (p<0.001). Conclusions EFJD is a good treatment alternative for CLBP originating from the facet joints, particularly in patients with isolated facet joint osteoarthritis. Moreover, this method can address not only the dorsal medial ramus but also the surrounding tissue (e.g., facet joint capsule, facet joint effusion, and osteophytes) as the origin of CLBP. |
| first_indexed | 2024-04-09T14:58:15Z |
| format | Article |
| id | doaj.art-1a6c2202244d4b75a3b4c47a82d9307f |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-04-09T14:58:15Z |
| publishDate | 2023-04-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-1a6c2202244d4b75a3b4c47a82d9307f2023-05-01T23:47:49ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462023-04-0117238239110.31616/asj.2021.01501478Endoscopic Facet Joint Denervation on the Lumbar Spine: A Retrospective AnalysisFranziska Wallscheid0Maximilian Manthey1Jerome Olsen2Stavros Oikonomidis3Carolin Meyer4Peer Eysel5Lars Löhrer6Jan Bredow7 Department of Orthopaedic and Trauma Surgery, Krankenhaus Porz am Rhein gGmbH, Cologne, Germany Department of Orthopaedic and Trauma Surgery, DIAKOVERE Friederikenstift, Hannover, Germany Max Planck Institute for Research on Collective Goods, Bonn, Germany Department of Orthopeadic and Trauma Surgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany Department of Spinal Surgery, Helios Bonn/Rhein Sieg, Bonn, Germany Department of Orthopeadic and Trauma Surgery, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany Department of Spinal Surgery, Schön Klinik Düsseldorf, Düsseldorf, Germany Department of Orthopaedic and Trauma Surgery, Krankenhaus Porz am Rhein gGmbH, Cologne, GermanyStudy Design This single-center retrospective study analyzed patients with chronic low back pain (CLBP) who underwent endoscopic facet joint denervation (EFJD) between April 2018 and May 2019. Purpose This study was designed to investigate the effectiveness of EFJD in treating CLBP. Overview of Literature CLBP is a challenging burden to healthcare systems worldwide. As up to 45% of cases originate from the lumbar facet joints, sufficient therapy strategies must be developed. EFJD offers a precise depiction of the dorsal medial ramus and the facet joint capsule. Methods In this study, 64 patients who underwent EFJD were included. The main outcome of interest was patients’ Visual Analog Scale (VAS) pain score, which was recorded at 3-time points (i.e., before operation and 6 weeks and 12 months after surgery). Results EFJD effectively reduced the VAS pain scores by 58% in the short term (6 weeks) and 38% in the long term (12 months). Patients with isolated facet joint osteoarthritis benefited more (p<0.001). Conclusions EFJD is a good treatment alternative for CLBP originating from the facet joints, particularly in patients with isolated facet joint osteoarthritis. Moreover, this method can address not only the dorsal medial ramus but also the surrounding tissue (e.g., facet joint capsule, facet joint effusion, and osteophytes) as the origin of CLBP.http://www.asianspinejournal.org/upload/pdf/asj-2021-0150.pdfendoscopic facet joint denervationchronic low back painfacet joint osteoarthritisdorsal medial ramusfacet joint effusionfacet joint capsule |
| spellingShingle | Franziska Wallscheid Maximilian Manthey Jerome Olsen Stavros Oikonomidis Carolin Meyer Peer Eysel Lars Löhrer Jan Bredow Endoscopic Facet Joint Denervation on the Lumbar Spine: A Retrospective Analysis Asian Spine Journal endoscopic facet joint denervation chronic low back pain facet joint osteoarthritis dorsal medial ramus facet joint effusion facet joint capsule |
| title | Endoscopic Facet Joint Denervation on the Lumbar Spine: A Retrospective Analysis |
| title_full | Endoscopic Facet Joint Denervation on the Lumbar Spine: A Retrospective Analysis |
| title_fullStr | Endoscopic Facet Joint Denervation on the Lumbar Spine: A Retrospective Analysis |
| title_full_unstemmed | Endoscopic Facet Joint Denervation on the Lumbar Spine: A Retrospective Analysis |
| title_short | Endoscopic Facet Joint Denervation on the Lumbar Spine: A Retrospective Analysis |
| title_sort | endoscopic facet joint denervation on the lumbar spine a retrospective analysis |
| topic | endoscopic facet joint denervation chronic low back pain facet joint osteoarthritis dorsal medial ramus facet joint effusion facet joint capsule |
| url | http://www.asianspinejournal.org/upload/pdf/asj-2021-0150.pdf |
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