CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(02): 199-205
DOI: 10.1055/s-0043-1768695
Revisão Sistemática e Metanálise
Coluna

Síndrome facetária lombar e a utilização da técnica de ablação por radiofrequência como terapia alternativa: uma revisão sistemática

Article in several languages: português | English
1   Curso de Medicina na Universidade de Vassouras, Vassouras, RJ, Brasil
,
1   Curso de Medicina na Universidade de Vassouras, Vassouras, RJ, Brasil
,
1   Curso de Medicina na Universidade de Vassouras, Vassouras, RJ, Brasil
,
2   Curso de Educação Física da Universidade de Vassouras, Vassouras, RJ, Brasil
› Author Affiliations
Suporte Financeiro Não houve suporte financeiro de fontes públicas, comerciais, ou sem fins lucrativos.

Resumo

Em um contexto de aumento da prevalência de queixas de dores na coluna, a síndrome facetária se destaca como um importante causador. Alternativas como a ablação por radiofrequência (RF) podem ser uma opção de terapia para alívio da dor crônica que essa patologia pode causar. É necessário analisar a eficácia do tratamento da síndrome facetária pela técnica de ablação por radiofrequência tradicional e o alívio gerado nas dores lombares crônicas (DLC). O presente estudo trata-se de uma revisão sistemática cujo os critérios de inclusão para análise foram: título; estudos observacionais; ensaios clínicos; ensaio clínico controlado; estudos clínicos e publicação nos últimos dezessete anos (2005–2022). Já os critérios de exclusão foram: artigos que abordavam outras temáticas e artigos de revisão. As bases utilizadas para coleta de dados incluíram Medical Literature Analysis and Retrieval System online (Medline), Pubmed, Scientific Electronic Library Online (SciELO), Lilacs, Biblioteca Virtual em Saúde. Os termos utilizados para a pesquisa foram: facet; pain; lumbar; radiofrequency. Aplicando-se os filtros foram encontrados 142 estudos, 12 foram incluídos. Os estudos em sua maioria apontaram ser benéfica a técnica de ablação por radiofrequência tradicional no alívio das dores lombares crônicas refratárias ao tratamento conservador.

Trabalho desenvolvido na Faculdade de Medicina da Universidade de Vassouras, Vassouras, RJ, Brasil.




Publication History

Received: 26 August 2022

Accepted: 23 November 2022

Article published online:
25 May 2023

© 2023. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • Referências

  • 1 Perolat R, Kastler A, Nicot B. et al. Facet joint syndrome: from diagnosis to interventional management. Insights Imaging 2018; 9 (05) 773-789
  • 2 Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain 2006; 10 (04) 287-333
  • 3 Beresford ZM, Kendall RW, Willick SE. Síndromes facetárias lombares. Curr Sports Med Rep 2010; 9 (01) 50-56
  • 4 Inoue N, Orías AAE, Segami K. Biomechanics of the Lumbar Facet Joint. Spine Surg Relat Res 2019; 4 (01) 1-7
  • 5 Cohen SP, Raja SN. Pathogenesis, diagnosis, and treatment of lumbar zygapophysial (facet) joint pain. Anesthesiology 2007; 106 (03) 591-614
  • 6 Berven S, Tay BB, Colman W, Hu SS. The lumbar zygapophyseal (facet) joints: a role in the pathogenesis of spinal pain syndromes and degenerative spondylolisthesis. Semin Neurol 2002; 22 (02) 187-196
  • 7 Manchikanti L, Hirsch JA, Falco FJ, Boswell MV. Management of lumbar zygapophysial (facet) joint pain. World J Orthop 2016; 7 (05) 315-337
  • 8 Sansone P, Giaccari LG, Lippiello A. et al. Pulsed Radiofrequency for Lumbar Facet Joint Pain: A Viable Therapeutic Option? A Retrospective Observational Study. Pain Ther 2020; 9 (02) 573-582
  • 9 Yuan HJ, Wang CY, Wang YF. Endoscopic joint capsule and articular process excision to treat lumbar facet joint syndrome: A case report. World J Clin Cases 2021; 9 (28) 8545-8551
  • 10 Xue Y, Ding T, Wang D. et al. Endoscopic rhizotomy for chronic lumbar zygapophysial joint pain. J Orthop Surg Res 2020; 15 (01) 4
  • 11 Moussa WM, Khedr W. Percutaneous radiofrequency facet capsule denervation as an alternative target in lumbar facet syndrome. Clin Neurol Neurosurg 2016; 150: 96-104
  • 12 Ertilav E, Aydin ON, Erel KV. Facet Median Branch Radiofrequency Thermocoagulation Treatment at Different Temperatures and Durations in Patients with Lumbar Facet Syndrome: A Randomized Controlled Double-Blind Study. Turk Neurosurg 2022; 32 (01) 149-154
  • 13 van Wijk RM, Geurts JW, Wynne HJ. et al. Radiofrequency denervation of lumbar facet joints in the treatment of chronic low back pain: a randomized, double-blind, sham lesion-controlled trial. Clin J Pain 2005; 21 (04) 335-344
  • 14 Zhou Q, Zhou F, Wang L, Liu K. An investigation on the effect of improved X-rays-guided radiofrequency thermocoagulation denervation on lumbar facet joint syndrome. Clin Neurol Neurosurg 2016; 148: 115-120
  • 15 Nath S, Nath CA, Pettersson K. Percutaneous lumbar zygapophysial (Facet) joint neurotomy using radiofrequency current, in the management of chronic low back pain: a randomized double-blind trial. Spine 2008; 33 (12) 1291-1297 , discussion 1298
  • 16 van Tilburg CW, Stronks DL, Groeneweg JG, Huygen FJ. Randomised sham-controlled double-blind multicentre clinical trial to ascertain the effect of percutaneous radiofrequency treatment for lumbar facet joint pain. Bone Joint J 2016; 98-B (11) 1526-1533
  • 17 Paulsen RT, Carreon L, Busch F, Isenberg-Jørgensen A. A pilot cohort study of lumbar facet joint denervation in patients with chronic low-back pain. Dan Med J 2019; 66 (03) A5533
  • 18 Tomé-Bermejo F, Barriga-Martín A, Martín JL. Identifying patients with chronic low back pain likely to benefit from lumbar facet radiofrequency denervation: a prospective study. J Spinal Disord Tech 2011; 24 (02) 69-75
  • 19 Gofeld M, Jitendra J, Faclier G. Radiofrequency denervation of the lumbar zygapophysial joints: 10-year prospective clinical audit. Pain Physician 2007; 10 (02) 291-300
  • 20 Civelek E, Cansever T, Kabatas S. et al. Comparison of effectiveness of facet joint injection and radiofrequency denervation in chronic low back pain. Turk Neurosurg 2012; 22 (02) 200-206
  • 21 Lakemeier S, Lind M, Schultz W. et al. A comparison of intraarticular lumbar facet joint steroid injections and lumbar facet joint radiofrequency denervation in the treatment of low back pain: a randomized, controlled, double-blind trial. Anesth Analg 2013; 117 (01) 228-235
  • 22 Costandi S, Garcia-Jacques M, Dews T. et al. Optimal Temperature for Radiofrequency Ablation of Lumbar Medial Branches for Treatment of Facet-Mediated Back Pain. Pain Pract 2016; 16 (08) 961-968
  • 23 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 (01) 19-25
  • 24 Manchikanti L, Manchikanti KN, Manchukonda R. et al. Evaluation of lumbar facet joint nerve blocks in the management of chronic low back pain: preliminary report of a randomized, double-blind controlled trial: clinical trial NCT00355914. Pain Physician 2007; 10 (03) 425-440