Radiofrequency Denervation for Facet Joint Low Back Pain A Systematic Review (original) (raw)

Study Design. A systematic review and meta-analysis of randomized controlled trials.Objective. To assess treatment effects (benefits and harms) of radiofrenquency denervation for patients with facet joint related chronic low back pain.Summary of Background Data. There is no consensus regarding the treatment efficacy of facet joint radiofrequency denervation (FJRD) and how it compares to nerve blockades and joint infiltration with anesthetics and/or corticosteroids.Methods. We searched the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, and LILACS for randomized controlled trials (RCTs) that compared FJRD with blockades, infiltrations, or placebo. Primary outcomes were pain, functional status, and quality of life. Secondary outcomes were cost-effectiveness and complications.Results. Fifteen studies were selected and nine were eligible. Overall quality of evidence was rated low to moderate. The evidence favored FJRD regarding pain control. There was no sufficient evid...