Relationship between paravertebral muscle twitching and long-term effects of radiofrequency medial branch neurotomy
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 고재철 | - |
dc.contributor.author | 김도형 | - |
dc.contributor.author | 이윤우 | - |
dc.contributor.author | 최종범 | - |
dc.contributor.author | 하동훈 | - |
dc.contributor.author | 안지원 | - |
dc.date.accessioned | 2021-09-03T12:05:21Z | - |
dc.date.available | 2021-09-03T12:05:21Z | - |
dc.date.created | 2021-06-17 | - |
dc.date.issued | 2017 | - |
dc.identifier.issn | 2005-9159 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/85293 | - |
dc.description.abstract | Background: To achieve a prolonged therapeutic effect in patients with lumbar facet joint syndrome, radiofrequency medial branch neurotomy (RF-MB) is commonly performed. The purpose of this study was to evaluate the prognostic value of paravertebral muscle twitching when performing RF-MB in patients with lumbar facet joint syndrome.Methods: We collected and analyzed data from 68 patients with confirmed facet joint syndrome. Sensory stimulation was performed at 50 Hz with a 0.5 V cut-off value. Patients were divided into 3 groups according to the twitching of the paravertebral muscle during 2 Hz motor stimulation: ‘Complete’, when twitching was observed at all needles; ‘Partial’, when twitching was present at 1 or 2 needles; and ‘None’, when no twitching was observed. The relationship between the long-term effects of RF-MB and paravertebral muscle twitching was analyzed.Results: The mean effect duration of RF-MB was 4.6, 5.8, and 7.0 months in the None, Partial, and Complete groups, respectively (P = 0.47). Although the mean effect duration of RF-MB did not increase significantly in proportion to the paravertebral muscle twitching, the Complete group had prolonged effect duration (> 6 months) than the None group in subgroup analysis. (P = 0.03).Conclusions: Paravertebral muscle twitching while performing lumbar RF-MB may be a reliable predictor of long-term efficacy when sensory provocation under 0.5 V is achieved. However, further investigation may be necessary for clarifying its clinical significance. (Korean J Pain 2017; 30: 296-303) | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | 대한통증학회 | - |
dc.title | Relationship between paravertebral muscle twitching and long-term effects of radiofrequency medial branch neurotomy | - |
dc.title.alternative | Relationship between paravertebral muscle twitching and long-term effects of radiofrequency medial branch neurotomy | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | 고재철 | - |
dc.identifier.bibliographicCitation | The Korean Journal of Pain, v.30, no.4, pp.296 - 303 | - |
dc.relation.isPartOf | The Korean Journal of Pain | - |
dc.citation.title | The Korean Journal of Pain | - |
dc.citation.volume | 30 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 296 | - |
dc.citation.endPage | 303 | - |
dc.type.rims | ART | - |
dc.identifier.kciid | ART002266570 | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.subject.keywordAuthor | Ablation technique | - |
dc.subject.keywordAuthor | Facet joint | - |
dc.subject.keywordAuthor | Fasciculation | - |
dc.subject.keywordAuthor | Innervation | - |
dc.subject.keywordAuthor | Lower back pain | - |
dc.subject.keywordAuthor | Prognosis | - |
dc.subject.keywordAuthor | Radio-frequency catheter ablation. | - |
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