Radiofrequency ablation for sacroiliac joint denervation for chronic low back pain
HAYES, Inc
Record ID 32017000178
English
Authors' recommendations:
Radiofrequency ablation (RFA) is a percutaneous treatment for chronic low back pain (LBP), including pain originating in the sacroiliac joint (SIJ), using radiowave-induced heat to create a lesion in a spinal sensory nerve. Following a diagnostic blockade to target the affected nerve(s), radiofrequency (RF) current is applied for several minutes via a needle electrode to denervate the targeted nerve(s) under image guidance. In the SIJ, RFA procedures typically target branches of the S1-S3 lateral sensory nerves, as well as the L5 dorsal ramus, with the overall aim of preventing transmission of pain signals to the central nervous system (denervation).
Rationale: The goal of treatment is to relieve pain and related symptoms in patients who are not responding adequately to conservative therapy.
Controversy: The effects of RFA denervation are not permanent, and may last from 6 months to 1 year or longer.
Relevant Questions: For patients with chronic nonspecific LBP associated with the SIJ, are conventional (thermal) and cooled RFA effective for alleviating pain, improving function, and improving quality of life?
Are both conventional and cooled RFA safe for patients with chronic nonspecific LBP associated with the SIJ? How do conventional RFA and cooled RFA compare with sham therapy, steroid injections, and other alternatives for relief of pain and symptoms related to chronic nonspecific LBP associated with the SIJ?
Have definitive patient selection criteria been established for conventional and cooled RFA for chronic nonspecific LBP associated with the SIJ?
Details
Project Status:
Completed
Year Published:
2017
URL for published report:
The report may be purchased from:
http://www.hayesinc.com/hayes/crd/?crd=14208
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
United States
MeSH Terms
- Catheter Ablation
- Denervation
- Humans
- Low Back Pain
- Sacroiliac Joint
Contact
Organisation Name:
HAYES, Inc.
Contact Address:
157 S. Broad Street, Suite 200, Lansdale, PA 19446, USA. Tel: 215 855 0615; Fax: 215 855 5218
Contact Name:
saleinfo@hayesinc.com
Contact Email:
saleinfo@hayesinc.com
Copyright:
Winifred S. Hayes, Inc
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.