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Development and description of a new multifidus‐sparing radiofrequency neurotomy technique for facet joint pain

Pain Practice Apr 03, 2021

Russo MA, et al. - Researchers sought to describe a modified radiofrequency neurotomy (RFN) technique that targets the capsule and spares the multifidus (multifidus‐sparing RFN) as well as presented a brief report of its application in patients with symptomatic facet joint low back pain as compared with traditional medial branch RFN (MBRF). They identified conduction of a total of 401 initial multifidus‐sparing RFN and 94 initial MBRF procedures on patients attending a multidisciplinary pain clinic over a 2‐year period. Overall similar proportion of repeat procedures were performed with a median repeat interval of 12 months for both groups and interquartile range of 10 (8‐18) months for multifidus‐sparing RFN and 4 (11‐15) months for MBRF. Outcomes support multifidus‐sparing RFN to be an intriguing technique to denervate the facet joint pain generator whilst maintaining normal multifidus function.

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