Single Strip Lesions Radiofrequency Denervation and Combined L5 Dorsal Rami Denervation for Treatment of Sacroiliac Joint Pain: 4 Years Follow-Up of 72 Patients

Ali Serdar Oguzoglu and Nilgun Senol*

Department of Neurosurgery, Suleyman Demirel University, Isparta, Turkey

^*Correspondance to: Nilgun Senol 

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Abstract:

Objective: To report long term follow-up results of patients with Positive Sacroiliac Joint (SIJ)
provocative pain and diagnostic tests treated with single strip with L5 dorsal rami Radiofrequency
(RF) denervation to evaluate the efficacy of combined ablation for long-term pain relief.
Design: This retrospective study was included 72 patients with Sacroiliac Joint Syndrome (SJS).
Visual Analogue Scale (VAS) scores collected preoperatively, postoperatively, and 3, 6, 12 months,
2 and 4 years post-procedure were statistically evaluated.
Results: The cohort included 23 males (32%) and 49 females (68%) with a mean age of 55.7 years
(range 38 to 81 years). Post-procedure pain relief at 1st, 3rd, 6th, 12th months, 2nd and 4th years were
85%, 69%, 23%, 15% and 12%, respectively. No complications or adverse effects were observed.
Conclusion: Patient selection and appropriate surgical technique are important for successful
outcomes in SJS. In practice, percutaneous applications are not being used enough. However, with
technological developments, the application is technically easy and safe. Single strip and combined
L5 dorsal rami RF denervation are effective in providing long-term pain relief.

Keywords:

Sacroiliac joint; Pain management; Percutaneous radiofrequency ablation; Single strip

Cite the Article:

Oguzoglu AS, Senol N. Single Strip Lesions Radiofrequency Denervation and Combined L5 Dorsal Rami Denervation for Treatment of Sacroiliac Joint Pain: 4 Years Follow-Up of 72 Patients. World J Surg Surgical Res. 2021; 4: 1298..