Research Article
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Year 2023, Volume: 36 Issue: 3, 297 - 302, 29.09.2023
https://doi.org/10.5472/marumj.1367781

Abstract

References

  • Cohen SP, Bicket MC, Jamison D, Wilkinson I, Rathmell JP. Epidural steroids: a comprehensive, evidence-based review. Reg Anesth Pain Med 2013; 38:175-200. doi:10.1097/ AAP.0b013e31828ea086.
  • Patrick N, Emanski E, Knaub MA. Acute and chronic low back pain. Med Clin North Am 2016; 100:169-81. doi:10.1016/j. mcna.2014.03.005.
  • Vlaeyen JWS, Maher CG, Wiech K, et al. Low back pain. Nat Rev Dis Primers 2018; 4:52. doi:10.1038/s41572.018.0052-1.
  • Vanneste T, Van Lantschoot A, Van Boxem K, Van Zundert J. Pulsed radiofrequency in chronic pain. Curr Opin Anaesthesiol 2017; 30:577-82. doi:10.1097/ACO.000.000.0000000502.
  • Liem L, van Dongen E, Huygen FJ, Staats P, Kramer J. The dorsal root ganglion as a therapeutic target for chronic pain. Reg Anesth Pain Med 2016; 41:511-9. doi:10.1097/ AAP.000.000.0000000408.
  • Sluijter ME. The effects of pulsed radiofrequency field applied to the dorsal root ganglion-a preliminary report. Pain Clin 1998; 11:109–17. doi:10.1155/2016/2136381.
  • Imani F, Gharaei H, Rezvani M. Pulsed radiofrequency of lumbar dorsal root ganglion for chronic postamputation phantom pain. Anesth Pain Med 2012; 1:194–7. doi:10.5812/ kowsar.22287.523.3768.
  • Moon HS, Kim YD, Song BH, Cha YD, Song JH, Lee MH. Position of dorsal root ganglia in the lumbosacral region in patients with radiculopathy. Korean J Anesthesiol 2010; 59:398-402. doi:10.4097/kjae.2010.59.6.398.
  • Malik K, Benzon HT. Radiofrequency applications to dorsal root ganglia: a literature review. Anesthesiology 2008; 109:527- 42. doi:10.1097/ALN.0b013e318182c86e.
  • Kikuchi S, Sato K, Konno S, Hasue M. Anatomic and radiographic study of dorsal root ganglia. Spine (Phila Pa 1976) 1994; 19:6-11. doi:10.1097/00007.632.199401000- 00002.
  • Kim WJ, Park HS, Park MK. The effect of needle tip position on the analgesic efficacy of pulsed radiofrequency treatment in patients with chronic lumbar radicular pain: a retrospective observational study. Korean J Pain 2019; 32:280-5. doi:10.3344/ kjp.2019.32.4.280.
  • Shen J, Wang HY, Chen JY, Liang BL. Morphologic analysis of normal human lumbar dorsal root ganglion by 3D MR imaging. A.J.N.R. Am J Neuroradiol 2006; 27:2098–103. Hamanishi C, Tanaka S. Dorsal root ganglia in the lumbosacral region observed from the axial views of MRI. Spine (Phila Pa 1976) 1993; 18:1753-6. doi:10.1097/00007.632.199310000- 00006.
  • Leng L, Liu L, Si D. Morphological anatomy of thoracolumbar nerve roots and dorsal root ganglia. Eur J Orthop Surg Traumatol 2018; 28:171-6. doi:10.1007/s00590.017.2026-5.
  • [15] Sato K, Kikuchi S. An anatomic study of foraminal nerve root lesions in the lumbar spine. Spine (Phila Pa 1976) 1993; 18:2246–51. doi:10.1097/00007.632.199311000-00017
  • Silverstein MP, Romrell LJ, Benzel EC, Thompson N, Griffith S, Lieberman IH. Lumbar dorsal root ganglia location: an anatomic and MRI assessment. Int J Spine Surg 2015; 9:3. doi:10.14444/2003.

The role of radiocontrast agents in the pulsed radiofrequency treatment of lumbar dorsal root ganglion

Year 2023, Volume: 36 Issue: 3, 297 - 302, 29.09.2023
https://doi.org/10.5472/marumj.1367781

Abstract

Objective: The aim of this study was to investigate the effect of contrast agent use on procedure time and accuracy in pulsed
radiofrequency treatment of the lumbar dorsal root ganglion.
Patients and Methods: Patients aged 23–79 years with lumbar radicular pain due to disc herniation for at least 3 months were randomized
into two groups of 35 patients each. Patients in both groups underwent fluoroscopy-guided pulsed radiofrequency treatment of the
dorsal root ganglion at the level of the L5 foramen. In the radiocontrast group, unlike the control group, the location of the ganglion
was determined by administering the contrast agent before the radiofrequency treatment.
Results: Procedure time in the radiocontrast group was significantly longer than in the control group (P< 0.05). In 50 cases ganglion
was detected in the extraforaminal or intraforaminal location, the excitation of the ganglion in the range of 0.4–0.6 V was significantly
higher in the radiocontrast group (95.8%) than in the control group (69.2%) (P< 0.05).
Conclusion: The use of radiocontrast material in pulsed radiofrequency application on the dorsal root ganglion prolongs the procedure
time. However, for ganglia that cannot be detected by stimulation, contrast injection is useful on procedural accuracy

References

  • Cohen SP, Bicket MC, Jamison D, Wilkinson I, Rathmell JP. Epidural steroids: a comprehensive, evidence-based review. Reg Anesth Pain Med 2013; 38:175-200. doi:10.1097/ AAP.0b013e31828ea086.
  • Patrick N, Emanski E, Knaub MA. Acute and chronic low back pain. Med Clin North Am 2016; 100:169-81. doi:10.1016/j. mcna.2014.03.005.
  • Vlaeyen JWS, Maher CG, Wiech K, et al. Low back pain. Nat Rev Dis Primers 2018; 4:52. doi:10.1038/s41572.018.0052-1.
  • Vanneste T, Van Lantschoot A, Van Boxem K, Van Zundert J. Pulsed radiofrequency in chronic pain. Curr Opin Anaesthesiol 2017; 30:577-82. doi:10.1097/ACO.000.000.0000000502.
  • Liem L, van Dongen E, Huygen FJ, Staats P, Kramer J. The dorsal root ganglion as a therapeutic target for chronic pain. Reg Anesth Pain Med 2016; 41:511-9. doi:10.1097/ AAP.000.000.0000000408.
  • Sluijter ME. The effects of pulsed radiofrequency field applied to the dorsal root ganglion-a preliminary report. Pain Clin 1998; 11:109–17. doi:10.1155/2016/2136381.
  • Imani F, Gharaei H, Rezvani M. Pulsed radiofrequency of lumbar dorsal root ganglion for chronic postamputation phantom pain. Anesth Pain Med 2012; 1:194–7. doi:10.5812/ kowsar.22287.523.3768.
  • Moon HS, Kim YD, Song BH, Cha YD, Song JH, Lee MH. Position of dorsal root ganglia in the lumbosacral region in patients with radiculopathy. Korean J Anesthesiol 2010; 59:398-402. doi:10.4097/kjae.2010.59.6.398.
  • Malik K, Benzon HT. Radiofrequency applications to dorsal root ganglia: a literature review. Anesthesiology 2008; 109:527- 42. doi:10.1097/ALN.0b013e318182c86e.
  • Kikuchi S, Sato K, Konno S, Hasue M. Anatomic and radiographic study of dorsal root ganglia. Spine (Phila Pa 1976) 1994; 19:6-11. doi:10.1097/00007.632.199401000- 00002.
  • Kim WJ, Park HS, Park MK. The effect of needle tip position on the analgesic efficacy of pulsed radiofrequency treatment in patients with chronic lumbar radicular pain: a retrospective observational study. Korean J Pain 2019; 32:280-5. doi:10.3344/ kjp.2019.32.4.280.
  • Shen J, Wang HY, Chen JY, Liang BL. Morphologic analysis of normal human lumbar dorsal root ganglion by 3D MR imaging. A.J.N.R. Am J Neuroradiol 2006; 27:2098–103. Hamanishi C, Tanaka S. Dorsal root ganglia in the lumbosacral region observed from the axial views of MRI. Spine (Phila Pa 1976) 1993; 18:1753-6. doi:10.1097/00007.632.199310000- 00006.
  • Leng L, Liu L, Si D. Morphological anatomy of thoracolumbar nerve roots and dorsal root ganglia. Eur J Orthop Surg Traumatol 2018; 28:171-6. doi:10.1007/s00590.017.2026-5.
  • [15] Sato K, Kikuchi S. An anatomic study of foraminal nerve root lesions in the lumbar spine. Spine (Phila Pa 1976) 1993; 18:2246–51. doi:10.1097/00007.632.199311000-00017
  • Silverstein MP, Romrell LJ, Benzel EC, Thompson N, Griffith S, Lieberman IH. Lumbar dorsal root ganglia location: an anatomic and MRI assessment. Int J Spine Surg 2015; 9:3. doi:10.14444/2003.
There are 15 citations in total.

Details

Primary Language English
Subjects Surgery (Other)
Journal Section Original Research
Authors

Serdar Kokar

Ozgur Emre Polat This is me

Publication Date September 29, 2023
Published in Issue Year 2023 Volume: 36 Issue: 3

Cite

APA Kokar, S., & Polat, O. E. (2023). The role of radiocontrast agents in the pulsed radiofrequency treatment of lumbar dorsal root ganglion. Marmara Medical Journal, 36(3), 297-302. https://doi.org/10.5472/marumj.1367781
AMA Kokar S, Polat OE. The role of radiocontrast agents in the pulsed radiofrequency treatment of lumbar dorsal root ganglion. Marmara Med J. September 2023;36(3):297-302. doi:10.5472/marumj.1367781
Chicago Kokar, Serdar, and Ozgur Emre Polat. “The Role of Radiocontrast Agents in the Pulsed Radiofrequency Treatment of Lumbar Dorsal Root Ganglion”. Marmara Medical Journal 36, no. 3 (September 2023): 297-302. https://doi.org/10.5472/marumj.1367781.
EndNote Kokar S, Polat OE (September 1, 2023) The role of radiocontrast agents in the pulsed radiofrequency treatment of lumbar dorsal root ganglion. Marmara Medical Journal 36 3 297–302.
IEEE S. Kokar and O. E. Polat, “The role of radiocontrast agents in the pulsed radiofrequency treatment of lumbar dorsal root ganglion”, Marmara Med J, vol. 36, no. 3, pp. 297–302, 2023, doi: 10.5472/marumj.1367781.
ISNAD Kokar, Serdar - Polat, Ozgur Emre. “The Role of Radiocontrast Agents in the Pulsed Radiofrequency Treatment of Lumbar Dorsal Root Ganglion”. Marmara Medical Journal 36/3 (September 2023), 297-302. https://doi.org/10.5472/marumj.1367781.
JAMA Kokar S, Polat OE. The role of radiocontrast agents in the pulsed radiofrequency treatment of lumbar dorsal root ganglion. Marmara Med J. 2023;36:297–302.
MLA Kokar, Serdar and Ozgur Emre Polat. “The Role of Radiocontrast Agents in the Pulsed Radiofrequency Treatment of Lumbar Dorsal Root Ganglion”. Marmara Medical Journal, vol. 36, no. 3, 2023, pp. 297-02, doi:10.5472/marumj.1367781.
Vancouver Kokar S, Polat OE. The role of radiocontrast agents in the pulsed radiofrequency treatment of lumbar dorsal root ganglion. Marmara Med J. 2023;36(3):297-302.