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Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2016; 35(02): 111-117
DOI: 10.1055/s-0036-1579554
Original Article | Artigo Original
Thieme Publicações Ltda Rio de Janeiro, Brazil

Radiofrequency Denervation for Facet Syndrome: A Meta-Analysis of Treatment Outcomes

Denervação de síndrome facetária por radiofrequência: metanálise de resultados de tratamentos
Pedro Henrique Essado Maya
1   Pontifícia Universidade Católica de Goiás (PUC-Goiás), Goiânia, GO, Brazil
,
Ledismar José da Silva
2   Functional Neurosurgeon, Professor at the Medical School, Pontifícia Universidade Católica de Goiás (PUC-Goiás), Goiânia, GO, Brazil
,
Marina Dumont Palmerston
1   Pontifícia Universidade Católica de Goiás (PUC-Goiás), Goiânia, GO, Brazil
,
Antonio Márcio Teodoro Cordeiro Silva
3   Associate Professor at the Medical School, Pontifícia Universidade Católica de Goiás (PUC-Goiás), Goiânia, GO, Brazil
› Institutsangaben
Weitere Informationen

Publikationsverlauf

10. September 2015

21. Dezember 2015

Publikationsdatum:
02. März 2016 (online)

   Lizenzen und Reprints

Abstract

Objective The aim of this study was to carry out a systematic literature review on the facet syndrome and a meta-analysis of the outcomes of radiofrequency denervation in patients presenting with the syndrome.

Methods A systematic literature review was performed based on 52 articles published from 1999 to 2013, available at Bireme, Scielo, PubMed, and MEDLINE databases. The meta-analysis comprises eight case-control studies, found during the literature review, totaling 440 patients. The heterogeneity of the collected data was assessed using the chi-square test (χ2). To estimate the effect of the proposed correlation, we combined the values of each study with the Mantel-Haensze test, which has fixed effects, using the BioEstat 5.0 software.

Results The selected studies were statistically relevant when grouped, determining an effect in favor of the use of facet denervation as a technique capable of relieving chronic low back pain in pre-determined periods of follow-up (OR = 1.251; 95% CI: 1.028–1.524).

Conclusion The results of the systematic literature review and meta-analysis herein presented may be used for the creation of diagnosis and management protocols for facet syndrome, and can also attract the interest of other researchers to conduct further studies on the theme.

Resumo

Objetivo Este estudo teve como objetivo elaborar uma revisão sistematizada sobre síndrome facetária e uma metanálise sobre os desfechos do tratamento neurocirúrgico com denervação por radiofrequência em pacientes acometidos por esta síndrome.

Métodos A revisão sistematizada foi elaborada com base em 52 artigos publicados de 2000 a 2013, disponíveis nas bases de dados eletrônicos Bireme, Scielo, PubMed e MEDLINE. A metanálise foi composta por oito casos-controle, selecionados durante a revisão, totalizando 440 pacientes. Os dados coletados foram avaliados quanto à sua heterogeneidade pelo teste qui-quadrado (χ2). Para estimar o efeito da correlação proposta, os valores de cada estudo foram combinados com o teste de Mantel-Haensze, que tem efeitos fixos, utilizando o software BioEstat 5.0.

Resultados Os estudos selecionados são estatisticamente relevantes quando agrupados, determinando um efeito a favor do uso da denervação facetária como técnica capaz de diminuir a lombalgia crônica em seguimentos pré-determinados, mostrando OR de 1,251 e IC95% entre 1,028 e 1,524.

Conclusão Os resultados da revisão sistemática de literatura e da metanálise aqui apresentados podem servir de base para a criação de protocolos de diagnóstico e conduta da síndrome facetária, assim como despertar o interesse de outros pesquisadores para a condução de novos estudos sobre o tema.

Keywords

radiofrequency - facet joint - lower back pain

Palavras-chave

radiofrequência - articulação facetaria - dor lombar
 

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