Fluoroscopy-guided posterior medial branch release of lumbar spinal nerve for the treatment of facet articular low back pain in the elderly patients:evaluation of its clinical efficacy
10.3969/j.issn.1008-794X.2024.11.013
- VernacularTitle:腰脊神经后内侧支松解治疗老年小关节源性腰痛的临床疗效评价
- Author:
Tong WU
1
;
Shuli ZHANG
;
Shaojun LI
;
Yachun ZHONG
;
Dan FENG
;
Shengxiong TONG
Author Information
1. 430022 湖北武汉 武汉市第一医院疼痛科
- Keywords:
facet articular low back pain;
posterior medial branch of the lumbar spinal nerve;
fluoroscopy
- From:
Journal of Interventional Radiology
2024;33(11):1221-1224
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical efficacy of fluoroscopy-guided posterior medial branch release of lumbar spinal nerves in the treatment of facet articular low back pain in the elderly patients.Methods A total of 102 elderly patients with facet articular low back pain,who were admitted to the Department of Pain,Wuhan Municipal First Hospital of China from January 2017 to December 2018,were randomly divided into release group and conservative group.The patients of release group was treated with fluoroscopy-guided posterior medial branch release of lumbar spinal nerves,and the patients of conservative group was treated with analgesic drugs combined with physiotherapy.The preoperative and the postoperative one-week,one-month,3-month,6-month,12-month,24-month low back pain scores as well as the improvement of lumbar spine function were compared between the two groups.Results In the release group,the postoperative one-week,one-month,3-month,6-month,12-month,24-month visual analogue scores(VAS)were significantly decreased,and the differences were statistically significant(all P＜0.05),which were significantly lower than those in the conservative group,and the differences were statistically significant(all P＜0.05).In the release group,the postoperative one-week,one-month,3-month,6-month,12-month,24-month RM Q scores and Oswestry dysfunction indexes were strikingly decreased,and the differences were statistically significant(P＜0.05),which were significantly lower than those in the conservative group(P＜0.05).No procedure-related complications occurred in both groups.Conclusion For the treatment of facet articular low back pain in the elderly patients,fluoroscopy-guided posterior medial branch release of lumbar spinal nerves is clinically safe and feasible with excellent short-term and medium-long-term effect.
