The clinical effect of pulse radiofrequency via posterior branch of lumbar nerve combined with nerve block in the treatment of senile lumbar osteoporotic compression fracture pain

Abstract

Objective To explore the clinical effect of pulse radiofrequency via posterior branch of lumbar nerve combined with nerve block in the treatment of senile lumbar osteoporotic compression fracture pain. Methods A total of 76 patients with senile lumbar osteoporotic compression fracture pain were reported. Thirty-nine cases underwent pulse radiofrequency via posterior branch of lumbar nerve combined with nerve block (combination group), and 37 cases only underwent nerve block via posterior branch of lumbar nerve (control group). Visual Analogue Scale (VAS), Oswestry Disability Index (ODI) and Medical Outcomes Study 12-Item Short-Form Health Survey (SF-12) were used to evaluate clinical efficacy. Results Compared with before treatment, VAS and ODI scores were significantly decreased (P = 0.000, 0.000), 8 dimension scores (physical function, physical role, pain, health status, vitality, social function, mood and mental health) and total score of SF-12 were significantly increased (P = 0.000, for all) after treatment in both groups. Compared with control group, VAS and ODI scores were significantly decreased (P = 0.044, 0.027), 8 dimension scores (physical function, physical role, pain, health status, vitality, social function, mood and mental health) and total score of SF-12 were significantly increased (P = 0.032, 0.037, 0.028, 0.024, 0.035, 0.047, 0.038, 0.026, 0.029) in combination group. Conclusions Compared with nerve block, the clinical effect of pulse radiofrequency via posterior branch of lumbar nerve combined with nerve block is more prominent in the treatment of senile lumbar osteoporotic compression fracture pain, so it should be used in clinical practice.

DOI: 10.3969/j.issn.1672-6731.2018.10.008