Skip to main content
. 2015 Oct 23;2015(10):CD008572. doi: 10.1002/14651858.CD008572.pub2

Hashemi 2014.

Methods Randomised controlled trial
Participants Inclusion criteria
  • Spondylolisthesis grade I in MRI at 1 single level

  • Chronic low back pain > 6 months

  • Supravertebral facet tenderness

  • Pain in hyperextension

  • Minimum NRS score of 4

  • Positive diagnostic medial branch block test


Exclusion criteria
  • Radicular pain

  • Neurological deficit

  • Indication for surgery

  • Stenosis of spinal canal

  • Spondylolysis

  • Positive straight leg raising test

  • Suppressed reflex

  • Known psychiatric disease

  • Spinal deformity

  • Neoplastic or infectious disease

Interventions Group 1: pulsed RF using a 22 G cannula SMK C10 with method described by van Kleef et al applied for a duration of 120 s with 45 V with silent time 480 ms
Group 2: steroid injections (1 mL (40 mg) triamcinolone) and 0.5 mL bupivacaine 0.5%
Outcomes Primary outcome: decrease in NRS score > 50% and pain relief defined as up to 6 months
Secondary outcome: improvement in functional status (ODI)
Notes