RSNA 2018

Abstract Archives of the RSNA, 2018


NR322-ED-X

CT-Guided Pulsed Radiofrequency: A Minimally-Invasive Procedure for Acute Radicular Low Back Pain

All Day Room: NA Digital Education Exhibit



Awards
Certificate of Merit

Participants
Susan Dababou, Rome, Italy (Presenter) Nothing to Disclose
Cristina Marrocchio, Rome, Italy (Abstract Co-Author) Nothing to Disclose
Hans Peter Erasmus, Rome, Italy (Abstract Co-Author) Nothing to Disclose
Roberto Scipione, MD , Rome, Italy (Abstract Co-Author) Nothing to Disclose
Michele Anzidei, MD, Rome, Italy (Abstract Co-Author) Nothing to Disclose
Carola Palla, MD , Rome, Italy (Abstract Co-Author) Nothing to Disclose
Andrea Leonardi, MD , Roma, Italy (Abstract Co-Author) Nothing to Disclose
Fabrizio Andrani, MD , Roma, Italy (Abstract Co-Author) Nothing to Disclose
Alessandro Napoli, MD, Rome, Italy (Abstract Co-Author) Nothing to Disclose
Carlo Catalano, MD, Rome, Italy (Abstract Co-Author) Nothing to Disclose

For information about this presentation, contact:

sdababou@gmail.com

 TEACHING POINTS

a)Nowadays,low back pain is the leading cause of disability worldwide.The consequences on quality of life and health costs demand a prompt discussion of its management.b)Acute low back pain management is first conservative(bedrest, manipulation, medications, injections).If not successful,more invasive procedures are then offered(discectomy, microdiscectomy, nucleolysis).c)CT-guided pulsed radiofrequency is an innovative technique that relies on intermittent administration of high-frequency current,avoiding a temperature rise beyond the critical level of 42°C,hence no nerve ablation occurs.The treatment is carried out in an outpatient basis and is repeatable. d)Pain resolution seems to rely on a neuromodulation mechanism.This temporary interruption in the transmission of pain decreases the local inflammation.This allows the body to gentle resolve the disc herniation.e)The major benefit of this procedure is its safety and effectiveness with fast recovery time and improvement in quality of life.

 TABLE OF CONTENTS/OUTLINE

1)Low back pain-Aetiology-Clinical presentation 2)Conventional therapies-Conservative treatment-Invasive treatment3)CT-guided radiofrequency-Brief illustration of the procedure-Mechanism of pain palliation-Our experience4)Discussion-Future of radiofrequency, its potential in the management of low back pain.