Piso, B. and Reinsperger, I. and Rosian, K. (2016): Radiofrequency denervation for sacroiliac and facet joint pain. Decision Support Document 99.
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We analysed the effectiveness and safety of Radiofrequency denervation (RFD), a minimally invasive procedure, in adult patients with chronic, facet joint or sacroiliac (SI) joint low back pain and a positive response to diagnostic nerve block.
We included 15 randomised controlled trials. Overall, the level of evidence for the estimated effects is very low to low. RFD for facet joint pain compared to placebo/steroid injections might reduce pain in defined periods of time (max. 12 months). RFD for SI-joint pain might lead to a global improvement up to 3 months. For a number of patient-relevant outcomes no significant changes have been found. Other outcomes have not been tested yet (e.g. effects of SI-RFD > 3 months).
Therefore, we currently recommend against the inclusion of RFD for SI or facet joint pain in the Austrian BMG catalogue of procedures and suggest a re-evaluation in 2019.
|Item Type:||Decision Support Document|
|Keywords:||Minimally invasive surgical procedures, low back pain, Zygapophyseal Joint, Sacroiliac Joint, chronic pain, radiofrequency denervation|
|Subjects:||WB Practice of medicine > WB 300-962 Therapeutics|
WE Musculoskeletal system > WE 720-755 Back
W Health professions > W 100-275 Medical, dental and pharmaceutical service plans
WO Surgery > WO 500-517 Operative surgical procedures. Techniques
WL Nervous system > WL 500-544 Peripheral nerves
WE Musculoskeletal system > WE 300-400 Joint tissues
WO Surgery > WO 505 Minimally invasive surgical procedures
WE Musculoskeletal system > WE 168-190 Orthopedics
|Series Name:||Decision Support Document 99|
|Deposited on:||14 Jul 2016 23:49|
|Last Modified:||14 Jul 2016 23:49|
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