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Radiofrequency Lumbar Facet Joint Denervation

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Minimally Invasive Surgery of the Lumbar Spine

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Abstract

Pain originating from the facet or zygapophyseal joints is responsible for about 15 % of all low back pain complaints [1].

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References

Lumbar Facet Denervation

  1. Schwarzer AC, Wang SC, Bogduk N, et al. Prevalence and clinical features of lumbar zygapophysial joint pain: a study in an Australian population with chronic low back pain. Ann Rheum Dis. 1995;54:100–6. doi:10.1.136/ard.54.2.100.

    Article  PubMed  CAS  Google Scholar 

  2. Wilde VE, Ford JJ, McMeeken JM. Indicators of lumbar zygapophyseal joint pain: survey of an expert panel with the Delphi technique. Phys Ther. 2007;87:1348–61. doi:10.2522/ptj.20060329.

    Article  PubMed  Google Scholar 

  3. Van Zundert J, Vanelderen P, Kessels A, van Kleef M. Radiofrequency treatment of facet-related pain: evidence and controversies. Curr Pain Headache Rep. 2012;16(1):19–25. doi:10.1007/si 01916-011-0237-8. Published online 18 Nov 2011. PMCID: PMC3258411.

    Article  PubMed  Google Scholar 

  4. Cohen SP, Huang JHY, Brummett C. Facet joint pain-advances in patient selection and treatment. Nat Rev Rheumatol. 2013;9(2):101–16. doi:10.1038/nrrheum.2012.198. Advance on lime publication; 20/11/12.

    Article  PubMed  Google Scholar 

  5. van Kleef M, Vanelderen P, Cohen SP, et al. 12. Pain originating from the lumbar facet joints. Pain Pract. 2010;10(5):459–69. The evidence rating used is a system that considers the potential burden and benefit of the treatment.

    Google Scholar 

Physics: Section 1

  1. Cosman Jr ER, Cosman Sr ER. Electric and thermal field effects in tissue around radiofrequency electrodes. Pain Med. 2005;6(6):405–24.

    Article  PubMed  Google Scholar 

  2. Sweet WM, Mark VH. Unipolar anodal electrolyte lesions in the brain of man and cat: report of five human cases with electrically produced bulbar or mesencephalic tractotomies. Arch Neurol Psychiatry. 1953;70:224–34.

    Article  CAS  Google Scholar 

  3. Cosman BJ, Cosman Sr ER. Guide to radio frequency lesion generation in neurosurgery. Burlington: Radionics; 1974.

    Google Scholar 

  4. Cosman Sr ER, Cosman BJ. Methods of making nervous system lesions. In: Wilkins RH, Rengachary SS, editors. Neurosurgery. New York: McGraw-Hill; 1984. p. 2490–9.

    Google Scholar 

  5. Cosman ER, Rittman WJ, Nashold BS, Makachinas TT. Radiofrequency lesion generation and its effect on tissue impedance. Appl Neurophysiol. 1988;51:230–42.

    PubMed  CAS  Google Scholar 

  6. Sluijter ME, Cosman ER, Rittman WJ, Van Kleef M. The effects of pulsed radiofrequency fields applied to the dorsal root ganglion – a preliminary report. Pain Clin. 1998;11(2):109–18.

    Google Scholar 

  7. Ferrante FM, King LF, Roche EA, et al. Radiofrequency sacroiliac joint denervation for sacroiliac syndrome. Reg Anesth Pain Med. 2001;26:137–42.

    PubMed  CAS  Google Scholar 

  8. Burnham RS, Yasui Y. An alternate method of radiofrequency neurotomy of the sacroiliac joint: a pilot study of the effect on pain, function, and satisfaction. Reg Anesth Pain Med. 2007;32:12–9.

    PubMed  Google Scholar 

  9. Cosman Jr ER, Gonzalez CD. Bipolar radiofrequency lesion geometry: implications for palisade treatment of sacroiliac joint pain. Pain Pract. 2011;11(1):3–22.

    Article  PubMed  Google Scholar 

  10. Ruiz-Lopez R. Treatment of carpal tunnel syndrome with pulsed radiofrequency. In: Lecture at the invasive procedures in motion conference. Swiss Paraplegic Center, Nottwil; 18–19 Jan 2008.

    Google Scholar 

  11. Cosman ER Sr, Cosman ER Jr. RF Electric fields and the distribution of heat in tissue. In: Lecture at the international radiofrequency symposium honoring the 70th birthday of Prof. Menno Sluijter: radiofrequency today. Nottwil; 18–19 Oct 2003.

    Google Scholar 

  12. Cosman ER Jr. Physics of radiofrequency. In: Presented at the 15th annual advanced interventional pain conference and practical workshop, and the 17th World Institute of Pain FIPP Examination. Budapest; 31 Aug 2010.

    Google Scholar 

  13. Wright RF, Wolfson LF, DiMuro JM, Peragine JM, Bainbridge SA. In vivo temperature measurement during neurotomy for SIJ pain using the Baylis SInergy probe. In: Proceedings of the international spine intervention society 15th annual scientific meeting; Budapest, Hungary. 2007. p. 82–4.

    Google Scholar 

  14. Brodkey JS, Miyazaki Y, Ervin FR, Mark VH. Reversible heat lesions with radiofrequency current: a method of stereotactic localization. J Neurosurg. 1964;21:49–53.

    Article  PubMed  CAS  Google Scholar 

  15. Dieckmann G, Gabriel E, Hassler R. Size, form, and structural peculiarities of experimental brain lesions obtained by thermocontrolled radiofrequency. Confin Neurol. 1965;26:134–42.

    PubMed  CAS  Google Scholar 

  16. Smith HP, McWhorter JM, Challa VR. Radiofrequency neurolysis in a clinical model. Neuropathological correlation. J Neurosurg. 1981;55:246–53.

    Article  PubMed  CAS  Google Scholar 

  17. Cosman ER Sr, Cosman ER Jr, Bove G. Blockage of axonal transmission by pulsed radiofrequency fields. In: Proceedings of the society of neuroscience conference. Chicago; 17–21 Oct 2009.

    Google Scholar 

  18. Abou-Sherif S, Hamann W, Hall S. Pulsed radiofrequency applied to dorsal root ganglia causes selective increase in ATF-3 in small neurons. In: Proceedings of the peripheral nerve society meeting. Banff; 26–30 July 2003.

    Google Scholar 

  19. Buijs EJ, van Wijk RM, Geurts JW, Weeseman RR, Stolker RJ, Groen GG. Radiofrequency lumbar facet denervation: a comparative study of the reproducibility of lesion size after 2 current radiofrequency techniques. Reg Anesth Pain Med. 2004;29(5):400–7.

    PubMed  Google Scholar 

  20. Gultuna I, Aukes H, van Gorp EJ, Cosman ER Jr. Limitations of voltage-controlled radiofrequency and non-temperature-measuring injection electrodes. Submitted for publication; 2011.

    Google Scholar 

  21. Cosman Sr ER, Nashold BS, Ovelman-Levitt J. Theoretical aspects of radiofrequency lesions in the dorsal root entry zone. Neurosurgery. 1984;15:945–50.

    Article  PubMed  CAS  Google Scholar 

  22. Erdine S, Bilir A, Cosman ER, Cosman ER. Ultrastructural changes in axons following exposure to pulsed radiofrequency fields. Pain Pract. 2009;9(6):407–17.

    Article  PubMed  Google Scholar 

  23. Cosman ER Sr, Cosman ER Jr. RF Electric fields and the distribution of heat in tissue. In: Lecture at the 2nd international symposium on interventional treatment of pain. Swiss Paraplegic Center, Nottwil; 14–15 Jan 2005.

    Google Scholar 

  24. Van Zundert J, Patijn J, Kessels A, Lamé I, van Suijlekom H, van Kleef M. Pulsed radiofrequency adjacent to the cervical dorsal root ganglion in chronic cervical radicular pain: a double blind sham controlled randomized clinical trial. Pain. 2007;127(1–2):173–82.

    Article  PubMed  Google Scholar 

  25. Sandkühler J, Chen JG, Cheng G, Randic M. Low frequency stimulation of afferent Aδ-fibers induces long-term depression at primary afferent synapses with substantia gelatinosa neurons in the rat. J Neurosci. 1997;17:6483–91.

    PubMed  Google Scholar 

  26. Bear MF. Bidirectional synaptic plasticity: from theory to reality. Philos Trans R Soc Lond B Biol Sci. 2003;358:649–55.

    Article  PubMed  Google Scholar 

Physics: Section 2

  1. Cosman Jr ER, Cosman Sr ER. Electric and thermal field effects in tissue around radiofrequency electrodes. Pain Med. 2005;6(6):405–24.

    Article  PubMed  Google Scholar 

  2. Cahana A, Vutskits L, Muller D. Acute differential modification of synaptic transmission and cell survival during exposure target position pulsed and continuous radiofrequency energy. J Pain. 2003;4(4):197–202.

    Article  PubMed  Google Scholar 

  3. Erdine S, Yucel A, Cunan A, et al. Effects of pulsed versus conventional radiofrequency current in rabbit dorsal root ganglion morphology. Eur J Pain. 2005;9(3):251–6.

    Article  PubMed  Google Scholar 

  4. Sandkuhler J, Chen JG, Cheng G, Randic M. Low frequency stimulation of the afferent A-delta fibers induces long-term depression at the primary afferent synapses with substantia gelatinosa neurons in the rat. J Neurosci. 1997;17:6483–91.

    PubMed  CAS  Google Scholar 

  5. Erdine S, Bilir A, Cosman Sr ER, Cosman Jr ER. Ultrastructural changes in axons following exposure to pulsed radiofrequency fields. Pain Pract. 2009;9(6):407–17.

    Article  PubMed  Google Scholar 

  6. Cosman ER Sr, Cosman ER Jr, Bove G. Blockage of axonal transmission by pulsed radiofrequency fields. In: Proceedings of the society of neuroscience conference. Chicago; 17–21 Oct 2009.

    Google Scholar 

Physics: Section 3

  1. Abou-Sherif S, Hamann W, Hall S. Traumatic injury in the PNS induces increased numbers of endoneural mast cells. In: Abstracts 10th world convention on pain. IASP Press. pp 290–1. see also Hamann W, Hall S. RF-lesions in anaesthetized rats. Br J Anaesth. 1992;68:443.

    Google Scholar 

  2. Sluijter M, et al. The effects of pulsed radiofrequency fields applied to the dorsal root ganglion – a preliminary report. Pain Clin. 1998;II(2):109–17.

    Google Scholar 

  3. Cosman Jr ER, Cosman Sr ER. Electric and thermal field effects in tissue around radiofrequency electrodes. Pain Med. 2005;6(6):405–24.

    Article  PubMed  Google Scholar 

  4. Higuchi Y, Nashold BS, Sluijter M, Cosman E, Pearlstein R. Exposure of the dorsal root ganglion in rats to pulsed radiofrequency currents activates dorsal horn lamina I and II neurons. Neurosurgery. 2002;50(4):850–6.

    Article  PubMed  Google Scholar 

  5. Hamann W. Mechanisms, indications and protocol for pulsed radiofrequency treatment. In: Meeting at St. Thomas’ Hospital. London; 2003.

    Google Scholar 

  6. Cahana A, Vutskits L, Muller D. Acute differential modulation of synaptic transmission and cell survival during exposure to pulsed and continuous radiofrequency energy. J Pain. 2003;4(4):197–202.

    Article  PubMed  Google Scholar 

  7. Erdine S, Yucel A, Cimen A, Aydin Podhajsky RJ, Sekiguchi Y, Kikuchi S, Myers RR. The histologic effects of pulsed and continuous radiofrequency lesions at 42°C to rat dorsal root ganglion and sciatic nerve. Spine. 2005;30(9):1008–13.

    Article  Google Scholar 

  8. Erdine S, Yucel A, Cimen A, Aydin S, Sav A, Bilir A. Effects of pulsed versus conventional radiofrequency current on rabbit dorsal root ganglion morphology. Eur J Pain. 2005;9:251–6.

    Article  PubMed  Google Scholar 

  9. Hamann W, Abou-Sherif S, Thompson S, Hall S. Pulsed radiofrequency applied to dorsal root ganglia causes a selective increase in ATF3 in small neurons. Eur J Pain. 2006;10:171–6.

    Article  PubMed  CAS  Google Scholar 

  10. Tun K, Cemil B, Gurhan A, Kaptanoglu E, Sargon MF, Tekdemir I, Comert A, Kanpolat Y. Ultrastructural evaluation of pulsed radiofrequency and conventional radiofrequency lesions in rat sciatic nerve. Surg Neurol. 2009;72:496–501.

    Article  PubMed  Google Scholar 

  11. Erdine S, Bilir A, Cosman ER, Cosman Jr ER. Ultrastructural changes in axons following exposure to pulsed radiofrequency fields. Pain Pract. 2009;9(6):407–17.

    Article  PubMed  Google Scholar 

  12. Protasoni M, Reguzzoni M, Sangiorgi S, Reverberi C, Borsani E, Rodella LF, Dario A, Tomei G, Dell’Orbo C. Pulsed radiofrequency effects on the lumbar ganglion of the rat dorsal root: a morphological light and transmission electron microscopy study at acute stage. Eur Spine J. 2009;18:473–8.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Pain Management, Whipps Cross University Hospital, London, E11, UK

    Charles A. Gauci MD, KHS, FRCA, FIPP, FFPMRCA

Authors
  1. Charles A. Gauci MD, KHS, FRCA, FIPP, FFPMRCA
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Correspondence to Charles A. Gauci MD, KHS, FRCA, FIPP, FFPMRCA .

Editor information

Editors and Affiliations

  1. Florence University, Florence, Italy and Department of Orthopaedics, Rome American Hospital,, Rome, Italy

    Pier Paolo Maria Menchetti

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Gauci, C.A. (2014). Radiofrequency Lumbar Facet Joint Denervation. In: Menchetti, P. (eds) Minimally Invasive Surgery of the Lumbar Spine. Springer, London. https://doi.org/10.1007/978-1-4471-5280-4_3

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  • DOI: https://doi.org/10.1007/978-1-4471-5280-4_3

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