Table 6.
Results Following Cervical Facet Joint Radiofrequency Ablation (Neurotomy) in WAD.
| Author | Year | Study type | No of patients/procedures | Summary of findings |
|---|---|---|---|---|
| Lord54) | 1996 | Randomized, double-blind trial (Group 1: percutaneous radiofrequency neurotomy vs. Group 2: control) | 24 patients (12 in each group) | Median time before the pain returned to at least 50% of the preoperative level: Group 1: 263 days, Group 2: 8 days in the control group. At 27 weeks, seven patients (Group 1) and one patient (Group 2) were free of pain. |
| McDonald60) | 1999 | Prospective, nonrandomized | 28 patients | Complete relief of pain was obtained in 71% of patients. The median duration of relief after a first procedure—219 days (failures included) but 422 days (only successful cases included) |
| Sapir55) | 2001 | Prospective, nonrandomized comparative | 60 patients (nonlitigant vs. litigant) | Reduction in visual analog pain scores was significant immediately after treatment (nonlitigants vs. litigants: 2.0 vs. 2.5, P=0.36) and at 1 year (nonlitigants vs. litigants: 2.9 vs. 4.0, P=0.05). One-year follow-up scores higher than immediate post-treatment scores (nonlitigants vs. litigants: 2.5 vs. 3.6) |
| Speldewinde59) | 2011 | Prospective, nonrandomized | 282 patients (379 procedures) | 76% successful procedures (at least 50% reduction of pain, for at least 2 months) |
| Cohen57) | 2007 | Retrospective series | 92 patients (three centers) | Male: 50% and female: 62% success rate (at least 50% pain relief lasting at least 6 months) |