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Best practice in radiofrequency denervation of the lumbar facet joints : a consensus technique

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Eldabe, Sam, Tariq, Anisah, Nath, Sherdil, Gulve, Ashish, Antrobus, Hugh, Baloch, Mohjir, Buczkowski, Piotr, Collighan, Neil, Fernandez, Tacson, Fritz, Ann-Katrin, Humble, Stephen, Huygen, Frank, Krishnan, Murali, Mehta, Vivek, Mishra, Sailesh, Muthukrishnan, Sundar, Snidvongs, Saz, Tamosauskas, Rokas and Underwood, Martin (2020) Best practice in radiofrequency denervation of the lumbar facet joints : a consensus technique. British Journal of Pain, 14 (1). pp. 47-56. doi:10.1177/2049463719840053

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Official URL: https://doi.org/10.1177/2049463719840053

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Abstract

Background

Radiofrequency denervation is used to treat selected people with low back pain. Recent trials have been criticised for using a sub-optimal intervention technique.

Objectives

To achieve consensus on a best practice technique for administering radiofrequency denervation of the lumbar facet joints to selected people with low back pain.

Study design

A consensus of expert professionals in the area of radiofrequency denervation of the lumbar facet joints.

Methods

We invited a clinical member from the 30 most active UK departments in radiofrequency pain procedures and two overseas clinicians with specific expertise to a 1 day consensus meeting. Drawing on the known anatomy of the medial branch, the theoretical basis of radiofrequency procedures, a survey of current practice and collective expertise, delegates were facilitated to reach consensus on the best practice technique.

Results

The day was attended by 24 UK and international clinical experts. Attendees agreed a best practice technique for the conduct of radiofrequency denervation of the lumbar facet joints.

Limitations

This consensus was based on a 1 day meeting of 24 clinical experts who attended and took part in the discussions. The agreed technique has not been subject to input from a wider community of experts.

Conclusions

Current best practice for radiofrequency denervation has been agreed for use in a UK trial. Group members intend immediate implementation in their respective trusts. We propose using this in a planned Randomised Controlled Trial (RCT) of radiofrequency denervation for selected people with low back pain.

Item Type: Journal Article
Subjects: R Medicine > RD Surgery
Divisions: Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): Nervous system -- Surgery, Backache -- Treatment
Journal or Publication Title: British Journal of Pain
Publisher: SAGE Publications
ISSN: 2049-4645
Official Date: 1 February 2020
Dates:
DateEvent
1 February 2020Published
3 April 2019Available
25 March 2019Accepted
Volume: 14
Number: 1
Page Range: pp. 47-56
DOI: 10.1177/2049463719840053
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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