Efectividad y seguridad de la radiofrecuencia pulsada vía intracanal en ganglio de la raíz dorsal en adultos con dolor lumbar radicular

Vista sencilla de ítem
dc.contributor.advisorGuerreo Nope, Carlos Guerrero
dc.contributor.advisorGarzón Hernandez, Cristian
dc.contributor.advisorGutierrez Vargas, Miguel
dc.contributor.advisorCeballos Maya, Cesar
dc.contributor.authorAdie Villafañe, Richard José
dc.contributor.orcidAdie Villafañe, Richard José [orcid.org/0000-0002-1800-6975]
dc.date.accessioned2025-02-10T19:57:31Z
dc.date.available2025-02-10T19:57:31Z
dc.date.issued2025-01
dc.description.abstractIntroducción El dolor lumbar es una causa principal de discapacidad, asociada con depresión y ansiedad. Ante el alivio limitado de los tratamientos conservadores, la radiofrecuencia pulsada (RFP) del ganglio de la raíz dorsal (DRG) surge como una opción intervencionista, aunque su uso de la via intracanal es poco explorado. Objetivo Sintetizar la información sobre la efectividad y seguridad de la RFP en DRG en adultos con dolor lumbar por vía intracanal. Metodología Se efectuó un Scoping Review por medio de articulos publicados entre los años 2000 y 2025, sobre estudios descriptivos y analíticos cuantitativos y cualicuantitativos que trataran la RFP en DRG en adultos con dolor lumbar por vía epidural, sin limites en el idioma, en las bases de datos y metabuscadores ScienceDirect, Scielo, EMBASE, Cochrane, BVS y PubMed. Los desenlaces principales fueron la efectividad representada con la reducción de escalas, funcionalidad y la seguridad representada mediante la prevalencia de eventos adversos. Resultados Entre 1676 estudios, se identificaron tres articulos que cumplieron los estándares para su inclusión, registrando en 96 pacientes, reducciones de la escala visual análoga incluso >5,5 puntos en la Escala numérica del dolor (NRS) y un impacto adicional significativo en la mejoría funcionalidad de los pacientes. Se reportó una muy baja prevalencia de eventos adversos leves. Conclusiones La RFP del DRG por vía epidural es efectiva y segura para el dolor lumbar, reduciendo el dolor y mejorando la funcionalidad hasta seis meses, aunque se requieren más estudios para confirmar su eficacia y seguridad.
dc.description.abstractenglishIntroduction Low back pain is a leading cause of disability, often associated with depression and anxiety. Given the limited relief provided by conservative treatments, pulsed radiofrequency (PRF) of the dorsal root ganglion (DRG) has emerged as an interventional option. However, its application via the intracanal route remains underexplored. Objective To synthesize information on the effectiveness and safety of PRF applied to the DRG in adults with low back pain via the intracanal route. Methodology A Scoping Review was conducted, including articles published between 2000 and 2025. The review focused on descriptive, analytical, quantitative, and mixed-methods studies addressing PRF in the DRG in adults with low back pain via the epidural route, without language restrictions. Databases and meta-search engines such as ScienceDirect, Scielo, EMBASE, Cochrane, BVS, and PubMed were used. The primary outcomes were effectiveness, measured by reductions in pain scales and improvements in functionality, and safety, evaluated through the prevalence of adverse events. Results Out of 1,676 studies, three articles met the inclusion criteria, encompassing 96 patients. These studies reported reductions in pain scores, including decreases of over 5.5 points on the Numerical Rating Scale (NRS), and significant additional improvements in patient functionality. A very low prevalence of mild adverse events was observed. Conclusions PRF of the DRG via the epidural route is effective and safe for managing low back pain, achieving pain reduction and improved functionality for up to six months. However, further research is necessary to confirm its long-term efficacy and safety.
dc.description.degreelevelEspecializaciónspa
dc.description.degreenameEspecialista en Medicina del Dolor y Cuidados Paliativosspa
dc.format.mimetypeapplication/pdf
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/13912
dc.language.isoes
dc.publisher.facultyFacultad de Medicinaspa
dc.publisher.grantorUniversidad El Bosquespa
dc.publisher.programEspecialización en Medicina del Dolor y Cuidados Paliativosspa
dc.relation.references4. Wu A, March L, Zheng X, Huang J, Wang X, Zhao J, et al. Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the Global Burden of Disease Study 2017. Ann Transl Med. 2020 Mar;8(6):299–299.
dc.relation.references2. Ferreira ML, de Luca K, Haile LM, Steinmetz JD, Culbreth GT, Cross M, et al. Global, regional, and national burden of low back pain, 1990–2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021. Lancet Rheumatol. 2023 Jun;5(6):e316–29.
dc.relation.references3. Nicol V, Verdaguer C, Daste C, Bisseriex H, Lapeyre É, Lefèvre-Colau MM, et al. Chronic Low Back Pain: A Narrative Review of Recent International Guidelines for Diagnosis and Conservative Treatment. J Clin Med. 2023 Feb 20;12(4):1685.
dc.relation.references4. Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al. What low back pain is and why we need to pay attention. The Lancet. 2018 Jun;391(10137):2356–67.
dc.relation.references5. Meucci RD, Fassa AG, Faria NMX. Prevalence of chronic low back pain: systematic review. Rev Saude Publica. 2015;49(0).
dc.relation.references6. Herman PM, Qureshi N, Arick SD, Edelen MO, Hays RD, Rodriguez A, et al. Definitions of Chronic Low Back Pain From a Scoping Review, and Analyses of Narratives and Self-Reported Health of Adults With Low Back Pain. J Pain. 2023 Mar;24(3):403–12.
dc.relation.references7. Taimela SMKUMMSJJMVTMs. The Prevalence of Low Back Pain Among Children and Adolescents A Nationwide, Cohort-Based Questionnaire Survey in Finland. Spine (Phila Pa 1976). 1997 May 15;22(10):1132–6.
dc.relation.references8. Wu A, March L, Zheng X, Huang J, Wang X, Zhao J, et al. Global low back pain prevalence and years lived with disability from 1990 to 2017: estimates from the Global Burden of Disease Study 2017. Ann Transl Med. 2020 Mar;8(6):299–299.
dc.relation.references9. Ge L, Pereira MJ, Yap CW, Heng BH. Chronic low back pain and its impact on physical function, mental health, and health-related quality of life: a cross-sectional study in Singapore. Sci Rep. 2022 Nov 21;12(1):20040.
dc.relation.references10. Fullen B, Morlion B, Linton SJ, Roomes D, van Griensven J, Abraham L, et al. Management of chronic low back pain and the impact on patients’ personal and professional lives: Results from an international patient survey. Pain Practice. 2022 Apr 25;22(4):463–77.
dc.relation.referencesUrits I, Burshtein A, Sharma M, Testa L, Gold PA, Orhurhu V, et al. Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment. Curr Pain Headache Rep. 2019 Mar 11;23(3):23.
dc.relation.references11. Allegri M, Montella S, Salici F, Valente A, Marchesini M, Compagnone C, et al. Mechanisms of low back pain: a guide for diagnosis and therapy. F1000Res. 2016 Oct 11;5:1530.
dc.relation.references12. Wáng YXJ, Wu AM, Ruiz Santiago F, Nogueira-Barbosa MH. Informed appropriate imaging for low back pain management: A narrative review. J Orthop Translat. 2018 Oct;15:21–34.
dc.relation.references13. Soar H, Comer C, Wilby MJ, Baranidharan G. Lumbar radicular pain. BJA Educ. 2022 Sep;22(9):343–9.
dc.relation.references14. Heliovaara M, Impivaara O, Sievers K, Melkas T, Knekt P, Korpi J, et al. Lumbar disc syndrome in Finland. J Epidemiol Community Health (1978). 1987 Sep 1;41(3):251–8.
dc.relation.references15. Dower A, Davies MA, Ghahreman A. Pathologic Basis of Lumbar Radicular Pain. World Neurosurg. 2019 Aug;128:114–21.
dc.relation.references16. Kreiner DS, Shaffer WO, Baisden JL, Gilbert TJ, Summers JT, Toton JF, et al. An evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal stenosis (update). The Spine Journal. 2013 Jul;13(7):734–43.
dc.relation.references17. Porter RW. Spinal Stenosis and Neurogenic Claudication. Spine (Phila Pa 1976). 1996 Sep;21(17):2046–52.
dc.relation.references18. Kovacs FM, Llobera J, Gil del Real MT, Abraira V, Gestoso M, Fernández C. Validation of the Spanish Version of the Roland-Morris Questionnaire. Spine (Phila Pa 1976). 2002 Mar;27(5):538–42.
dc.relation.referencesStafford MA, Peng P, Hill DA. Sciatica: a review of history, epidemiology, pathogenesis, and the role of epidural steroid injection in management. Br J Anaesth. 2007 Oct;99(4):461–73.
dc.relation.references19. Sluijter ME. Pulsed Radiofrequency. Anesthesiology. 2005 Dec 1;103(6):1313–1313.
dc.relation.references20. Luijsterburg PAJ, Lamers LM, Verhagen AP, Ostelo RWJG, van den Hoogen HJMM, Peul WC, et al. Cost-Effectiveness of Physical Therapy and General Practitioner Care for Sciatica. Spine (Phila Pa 1976). 2007 Aug;32(18):1942–8.
dc.relation.references21. De M, Mohan VK, Bhoi D, Talawar P, Kumar A, Garg B, et al. Transforaminal Epidural Injection of Local Anesthetic and Dorsal Root Ganglion Pulsed Radiofrequency Treatment in Lumbar Radicular Pain: A Randomized, Triple‐Blind, Active‐Control Trial. Pain Practice. 2020 Feb 21;20(2):154–67.
dc.relation.references22. Van Zundert J, Patijn J, Kessels A, Lamé I, van Suijlekom H, van Kleef M. Pulsed radiofrequency adjacent to the cervical dorsal root ganglion in chronic cervical radicular pain: A double blind sham controlled randomized clinical trial. Pain. 2007 Jan;127(1):173–82.
dc.relation.references23. Koh W, Choi SS, Karm MH, Suh JH, Leem JG, Lee J Do, et al. Treatment of Chronic Lumbosacral Radicular Pain Using Adjuvant Pulsed Radiofrequency: A Randomized Controlled Study. Pain Medicine. 2015 Mar 1;16(3):432–41.
dc.relation.references24. Yang S, Chang MC. Efficacy of pulsed radiofrequency in controlling pain caused by spinal disorders: a narrative review. Ann Palliat Med. 2020 Sep;9(5):3528–36.
dc.relation.references25. Maria Grabnar MRMCK. Chapter 1 History of radiofrequency ablation (RFA). In: Radiofrequency Ablation Techniques. Elsevier. 2024. p. 1–3.
dc.relation.references26. Rosomoff HL, Carroll F, Brown J, Sheptak P. Percutaneous Radiofrequency Cervical Cordotomy: Technique. J Neurosurg. 1965 Dec;23(6):639–44.
dc.relation.references27. ARONOW S. The use of radio-frequency power in making lesions in the brain. J Neurosurg. 1960 May;17:431–8.
dc.relation.references28. Letcher FS, Goldring S. The effect of radiofrequency current and heat on peripheral nerve action potential in the cat. J Neurosurg. 1968 Jul;29(1):42–7.
dc.relation.references29. Shealy CN. Percutaneous radiofrequency denervation of spinal facets. Treatment for chronic back pain and sciatica. J Neurosurg. 1975 Oct;43(4):448–51.
dc.relation.references30. Uemetsu S. Percutaneous electrothermocoagulation of spinal nerve trunk, ganglion, and rootlets. In: Current Techniques in Operative Neurosurgery. New York, NY: Grune and Stratton. 1977;
dc.relation.references31. Sluijter ME. Treatment of chronic back and neck pain by percutaneous thermal lesions. In: Persistent Pain: Modern Methods of Treatment. Academic Press, editor. Vol. 3. London, England; 1981.
dc.relation.references32. Ahadian FM. Pulsed radiofrequency neurotomy: advances in pain medicine. Curr Pain Headache Rep. 2004 Feb;8(1):34–40.
dc.relation.references33. Chang MC. Efficacy of pulsed radiofrequency stimulation in patients with peripheral neuropathic pain: a narrative review. Pain Physician. 2018;21:225–34.
dc.relation.references34. Park D, Chang MC. The mechanism of action of pulsed radiofrequency in reducing pain: a narrative review. Journal of Yeungnam medical science. 2022 Jul;39(3):200–5.
dc.relation.references35. De la cruz J, Benzecry Almeida D, Silva Marques M, Ramina R, Fortes Kubiak RJ. Elucidating the Mechanisms of Pulsed Radiofrequency for Pain Treatment. Cureus. 2023 Sep 8;
dc.relation.references36. Van Boxem K, Huntoon M, Van Zundert J, Patijn J, van Kleef M, Joosten EA. Pulsed Radiofrequency. Reg Anesth Pain Med. 2014;39(2):149–59.
dc.relation.references37. Strand NH, Hagedorn JM, Dunn T, Johnson B, Abd-Elsayed A, Covington S, et al. Advances in radiofrequency ablation: mechanism of action and technology. Ann Palliat Med. 2024 Jul;13(4):1028–34.
dc.relation.references38. Huang RY, Liao CC, Tsai SY, Yen CT, Lin CW, Chen TC, et al. Rapid and Delayed Effects of Pulsed Radiofrequency on Neuropathic Pain: Electrophysiological, Molecular, and Behavioral Evidence Supporting Long-Term Depression. Pain Physician. 2017 Feb;20(2):E269–83.
dc.relation.references39. Cho HK, Kang JH, Kim SY, Choi MJ, Hwang SJ, Cho YW, et al. Changes in Neuroglial Activity in Multiple Spinal Segments after Caudal Epidural Pulsed Radiofrequency in a Rat Model of Lumbar Disc Herniation. Pain Physician. 2016;19(8):E1197–209.
dc.relation.references40. Jiang R, Li P, Yao YX, Li H, Liu R, Huang LE, et al. Pulsed radiofrequency to the dorsal root ganglion or the sciatic nerve reduces neuropathic pain behavior, decreases peripheral pro-inflammatory cytokines and spinal β-catenin in chronic constriction injury rats. Reg Anesth Pain Med. 2019 May 14;
dc.relation.references41. Moffett J, Fray LM, Kubat NJ. Activation of endogenous opioid gene expression in human keratinocytes and fibroblasts by pulsed radiofrequency energy fields. J Pain Res. 2012;5:347–57.
dc.relation.references42. Erdine S, Bilir A, Cosman ER, Cosman ER. Ultrastructural changes in axons following exposure to pulsed radiofrequency fields. Pain Pract. 2009;9(6):407–17.
dc.relation.references43. Esposito MF, Malayil R, Hanes M, Deer T. Unique Characteristics of the Dorsal Root Ganglion as a Target for Neuromodulation. Pain Medicine. 2019 Jun 1;20(Supplement_1):S23–30.
dc.relation.references44. Krames ES. The Dorsal Root Ganglion in Chronic Pain and as a Target for Neuromodulation: A Review. Neuromodulation: Technology at the Neural Interface. 2015 Jan;18(1):24–32.
dc.relation.references45. Gemes G, Koopmeiners A, Rigaud M, Lirk P, Sapunar D, Bangaru ML, et al. Failure of action potential propagation in sensory neurons: mechanisms and loss of afferent filtering in C‐type units after painful nerve injury. J Physiol. 2013 Feb 15;591(4):1111–31.
dc.relation.references46. Ahimsadasan N RVKSM et al. Neuroanatomy, Dorsal Root Ganglion. StatPearls Publishing. 2022 Sep 21;
dc.relation.references47. Hogan QH. Labat lecture: the primary sensory neuron: where it is, what it does, and why it matters. Reg Anesth Pain Med. 2010;35(3):306–11.
dc.relation.references48. Kostelic JK, Haughton VM, Sether LA. Lumbar spinal nerves in the neural foramen: MR appearance. Radiology. 1991 Mar;178(3):837–9.
dc.relation.references49. 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(4):511–9.
dc.relation.references50. Vancamp T, Levy RM, Peña I, Pajuelo A. Relevant Anatomy, Morphology, and Implantation Techniques of the Dorsal Root Ganglia at the Lumbar Levels. Neuromodulation: Technology at the Neural Interface. 2017 Oct;20(7):690–702.
dc.relation.references51. Berger AA, Liu Y, Possoit H, Rogers AC, Moore W, Gress K, et al. Dorsal Root Ganglion (DRG) and Chronic Pain. Anesth Pain Med. 2021 Mar 28;11(2).
dc.relation.references52. Silav G, Arslan M, Comert A, Acar HI, Kahilogullari G, Dolgun H, et al. Relationship of dorsal root ganglion to intervertebral foramen in lumbar region: an anatomical study and review of literature. J Neurosurg Sci. 2016 Sep;60(3):339–44.
dc.relation.references53. Howe JF, Loeser JD, Calvin WH. Mechanosensitivity of dorsal root ganglia and chronically injured axons: A physiological basis for the radicular pain of nerve root compression. Pain. 1977 Feb;3(1):25–41.
dc.relation.references54. Higuchi Y, Nashold BS, Sluijter M, Cosman E, Pearlstein RD. Exposure of the Dorsal Root Ganglion in Rats to Pulsed Radiofrequency Currents Activates Dorsal Horn Lamina I and II Neurons. Neurosurgery. 2002 Apr 1;50(4):850–6.
dc.relation.references55. Van Wijk RMAW, Geurts JWM, Wynne HJ. Long-lasting analgesic effect of radiofrequency treatment of the lumbosacral dorsal root ganglion. J Neurosurg Spine. 2001 Apr;94(2):227–31.
dc.relation.references56. Tsou HK, Chao SC, Wang CJ, Chen HT, Shen CC, Lee HT, et al. Percutaneous pulsed radiofrequency applied to the L-2 dorsal root ganglion for treatment of chronic low-back pain: 3-year experience. J Neurosurg Spine. 2010 Feb;12(2):190–6.
dc.relation.references57. Vigneri S, Sindaco G, La Grua M, Zanella M, Lo Bianco G, Paci V, et al. Electrocatheter-mediated High-voltage Pulsed Radiofrequency of the Dorsal Root Ganglion in the Treatment of Chronic Lumbosacral Neuropathic Pain. Clin J Pain. 2020 Jan;36(1):25–33.
dc.relation.references58. Chang A, Ng AT. Complications Associated with Lumbar Transforaminal Epidural Steroid Injections. Curr Pain Headache Rep. 2020 Nov 29;24(11):67.
dc.relation.references59. Park JW, Nam HS, Park Y. Usefulness of Posterolateral Transforaminal Approach in Lumbar Radicular Pain. Ann Rehabil Med. 2011;35(3):395.
dc.relation.references60. Park JW, Nam HS, Cho SK, Jung HJ, Lee BJ, Park Y. Kambin’s Triangle Approach of Lumbar Transforaminal Epidural Injection with Spinal Stenosis. Ann Rehabil Med. 2011;35(6):833.
dc.relation.references61. Kikuchi S, Sato K, Konno S, Hasue M. Anatomic and Radiographic Study of Dorsal Root Ganglia. Spine (Phila Pa 1976). 1994 Jan;19(1):6–11.
dc.relation.references62. Goodman BS, Posecion LWF, Mallempati S, Bayazitoglu M. Complications and pitfalls of lumbar interlaminar and transforaminal epidural injections. Curr Rev Musculoskelet Med. 2008 Dec 15;1(3–4):212
dc.relation.references63. Hack Sun Lee MD, JBLMD, SDKMD, DJLMD and JYPMD. Useful Tips for Safe and Successful Transforaminal Dorsal Root Ganglion and Epidural Blocks for Lumbar Disc Disorder. International Journal of Pain. 2006;16:83–92.
dc.relation.references64. Omar-Pasha O. Application of Pulsed Radio Frequency to the Dorsal Horn and Dorsal Roots. In 2011. p. 85–95.
dc.relation.references65. Hong LW, Chen KT. A real-world evidence of a consecutive treatment of 42 spine-related pain using dorsal root ganglion-pulsed radiofrequency (DRG-PRF). Clin Neurol Neurosurg. 2020 Oct;197:106186.
dc.relation.references66. Park S, Park J, Jang JN, Choi S, Song Y, Kim YU, et al. Pulsed radiofrequency of lumbar dorsal root ganglion for lumbar radicular pain: A systematic review and meta‐analysis. Pain Practice. 2024 Jun 31;24(5):772–85.
dc.relation.references67. Moussa WM, Khedr W, Elsawy M. Percutaneous pulsed radiofrequency treatment of dorsal root ganglion for treatment of lumbar facet syndrome. Clin Neurol Neurosurg. 2020 Dec;199:106253.
dc.relation.references68. Lee DG, Ahn SH, Lee J. Comparative Effectivenesses of Pulsed Radiofrequency and Transforaminal Steroid Injection for Radicular Pain due to Disc Herniation: a Prospective Randomized Trial. J Korean Med Sci. 2016;31(8):1324.
dc.relation.references69. Peene L, Cohen SP, Kallewaard JW, Wolff A, Huygen F, Gaag A van de, et al. 1. Lumbosacral radicular pain. Pain Practice. 2024 Mar 20;24(3):525–52.
dc.relation.references70. Van Boxem K, Huntoon M, Van Zundert J, Patijn J, van Kleef M, Joosten EA. Pulsed Radiofrequency. Reg Anesth Pain Med. 2014;39(2):149–59.
dc.relation.references71. Alfalogy E, Mahfouz S, Elmedany S, Hariri N, Fallatah S. Chronic Low Back Pain: Prevalence, Impact on Quality of Life, and Predictors of Future Disability. Cureus. 2023 Sep 22;
dc.relation.references72. Farley T, Stokke J, Goyal K, DeMicco R. Chronic Low Back Pain: History, Symptoms, Pain Mechanisms, and Treatment. Life. 2024 Jun 27;14(7):812.
dc.relation.references73. Alamam DM, Leaver A, Alsobayel HI, Moloney N, Lin J, Mackey MG. Low Back Pain–Related Disability Is Associated with Pain-Related Beliefs Across Divergent Non–English-Speaking Populations: Systematic Review and Meta-Analysis. Pain Medicine. 2021 Dec 11;22(12):2974–89.
dc.relation.references74. Cashin AG, Wand BM, O’Connell NE, Lee H, Rizzo RR, Bagg MK, et al. Pharmacological treatments for low back pain in adults: an overview of Cochrane Reviews. Cochrane Database of Systematic Reviews. 2023 Apr 4;2023(4).
dc.relation.references75. Foster NE, Anema JR, Cherkin D, Chou R, Cohen SP, Gross DP, et al. Prevention and treatment of low back pain: evidence, challenges, and promising directions. The Lancet. 2018 Jun;391(10137):2368–83.
dc.relation.references76. Voloshin A. The efficacy of epidural pulsed radiofrequency on radicular pain refractory to dorsal root ganglion pulsed radiofrequency treatment. International Physical Medicine & Rehabilitation Journal. 2021;6(3):61–5.
dc.relation.references77. Silva-Ortiz VM. Eficacia de la Radiofrecuencia Pulsada de Ganglio de la Raíz Dorsal Lumbar por Vía Epidural, Acceso Caudal para Tratar el Dolor Lumbar Crónico. Serie de Casos. Anestesia en México. 2025;37(14):40–4.
dc.relation.references78. Pano MPA, Morgani SJB, Llorente RDM, et al. Pulsed radiofrequency of the bilateral L2 dorsal root ganglion as a therapeutic target in patients with discogenic low back pain: A case report. Pain. 2023;38(1):13–7.
dc.relation.references79. Silva-Ortiz VM, Herrero M, Del Rio-Parra MA, Velásquez-Ramos JG. Eficacia de la Radiofrecuencia Pulsada de Ganglio de la Raíz Dorsal Lumbar por Vía Epidural, Acceso Caudal para Tratar el Dolor Lumbar Crónico. Serie de Casos. Anestesia en México. 2025;37(14):40–4.
dc.relation.references80. Erken B, Edipoglu IS. Efficacy of High-Voltage Pulsed Radiofrequency of the Dorsal Root Ganglion for Treatment of Chronic Lumbosacral Radicular Pain: A Randomized Clinical Trial. Neuromodulation: Technology at the Neural Interface. 2024 Jan;27(1):135–40.
dc.relation.references81. Vigneri S, Sindaco G, La Grua M, Zanella M, Lo Bianco G, Paci V, et al. Electrocatheter-mediated High-voltage Pulsed Radiofrequency of the Dorsal Root Ganglion in the Treatment of Chronic Lumbosacral Neuropathic Pain. Clin J Pain. 2020 Jan;36(1):25–33.
dc.relation.references82. Lee CC, Chen CJ, Chou CC, Wang HY, Chung WY, Peng GS, et al. Lumbar Dorsal Root Ganglion Block as a Prognostic Tool Before Pulsed Radiofrequency: A Randomized, Prospective, and Comparative Study on Cost-Effectiveness. World Neurosurg. 2018 Apr;112:e157–64.
dc.relation.references83. Moussa WM, Khedr W, Elsawy M. Percutaneous pulsed radiofrequency treatment of dorsal root ganglion for treatment of lumbar facet syndrome. Clin Neurol Neurosurg. 2020 Dec;199:106253.
dc.relation.references84. Marliana A, Yudianta S, Subagya DW, Setyopranoto I, Setyaningsih I, Tursina Srie C, et al. The efficacy of pulsed radiofrequency intervention of the lumbar dorsal root ganglion in patients with chronic lumbar radicular pain. Med J Malaysia. 2020 Mar;75(2):124–9.
dc.relation.references88. Castromán Espasandín PJ, Surbano - M. Radiofrecuencia pulsada del ganglio de la raíz dorsal para el dolor radicular lumbosacro: una revisión de la evidencia. Revista de la Sociedad Española del Dolor. 2021;28.
dc.relation.references86. Pastrak M, Visnjevac O, Visnjevac T, Ma F, Abd-Elsayed A. Safety of Conventional and Pulsed Radiofrequency Lesions of the Dorsal Root Entry Zone Complex (DREZC) for Interventional Pain Management: A Systematic Review. Pain Ther. 2022 Jun 17;11(2):411–45.
dc.relation.references87. Sencan S, Sacaklidir R, Gunduz OH. The Immediate Adverse Events of Lumbar Interventional Pain Procedures in 4,209 Patients: An Observational Clinical Study. Pain Medicine. 2022 Jan 3;23(1):76–80.
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 Internationalen
dc.rights.accessrightshttps://purl.org/coar/access_right/c_abf2
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.localAcceso abiertospa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/
dc.subjectRadiofrecuencia Pulsada
dc.subjectVía intracanal
dc.subjectGanglio de la raíz dorsal
dc.subjectDolor lumbar radicular.
dc.subject.keywordsPulsed Radiofrequency
dc.subject.keywordsIntracanal Route
dc.subject.keywordsDorsal Root Ganglion
dc.subject.keywordsRadicular Low Back Pain.
dc.subject.nlmWB 310
dc.titleEfectividad y seguridad de la radiofrecuencia pulsada vía intracanal en ganglio de la raíz dorsal en adultos con dolor lumbar radicular
dc.title.translatedEffectiveness and safety of pulsed radiofrequency via intracanal route in the dorsal root ganglion in adults with radicular low back pain
dc.type.coarhttps://purl.org/coar/resource_type/c_7a1f
dc.type.coarversionhttps://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.driverinfo:eu-repo/semantics/bachelorThesis
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.type.localTesis/Trabajo de grado - Monografía - Especializaciónspa

Archivos

Bloque original
Mostrando 1 - 1 de 1
No hay miniatura disponible
Nombre:
Trabajo de grado.pdf
Tamaño:
626.24 KB
Formato:
Adobe Portable Document Format
Descargar
Bloque de licencias
Mostrando 1 - 3 de 3
No hay miniatura disponible
Nombre:
license.txt
Tamaño:
1.95 KB
Formato:
Item-specific license agreed upon to submission
Descripción:
Descargar
No hay miniatura disponible
Nombre:
Carta de autorizacion.pdf
Tamaño:
2.48 MB
Formato:
Adobe Portable Document Format
Descripción:
Descargar
No hay miniatura disponible
Nombre:
Anexo 1 Acta de aprobacion.pdf
Tamaño:
225.66 KB
Formato:
Adobe Portable Document Format
Descripción:
Descargar

Colecciones

Especialización en Medicina del Dolor y Cuidados Paliativos