Safety and Efficacy of Radiofrequency Ablation of the Medial Branch Nerves with Preexisting Spinal Hardware. A Case Series and Review of Literature

Current Pain and Headache Reports
Alaa Abd-ElsayedJeff VanderWood

Abstract

To explore the efficacy of radio frequency ablation in treating pain in patients with hardware at site of the procedure. There is very limited data in literature about this topic. One study performed in 2016 indicated no complications when performing RFA close to hardware in patients with chronic pain conditions. Radiofrequency ablation can be safely and effectively performed close to hardware. While heating of the hardware can happen which can theoretically lead to tissue injury or decreased heat going to target nerve, this does not seem to be of clinical significance. More studies are needed to confirm this finding.

References

Jan 7, 2003·Annals of Surgical Oncology·Richard J BleicherAnton J Bilchik
Jan 13, 2015·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Halena M GazelkaTim J Lamer
Jun 7, 2015·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Duy T NguyenWilliam H Sauer
Jan 15, 2016·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Tim J LamerHalena M Gazelka
May 12, 2018·The Turkish Journal of Gastroenterology : the Official Journal of Turkish Society of Gastroenterology·Andrew J Kruger, Somashekar G Krishna

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Citations

Nov 21, 2019·Pain Practice : the Official Journal of World Institute of Pain·Newaj AbdullahJonathan M Hagedorn

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