J Minim Invasive Spine Surg Tech.
2024 Oct;9(2):142-153. 10.21182/jmisst.2024.01284.
Endoscopic Radiofrequency Ablation for Sacroiliac Joint Pain: A Systematic Review and Meta-analysis
- Wu BQ
1,2 - Chen DY3,4
- Alvin LKX3,4
- Hsiao PH3,4
- Lin CY3,4
- Chen MJW3,4
- Li LY3,4
- Lai CY3,4
- Chen HT3,4,5
- Tseng C3,4,6,7
- Affiliations
-
- 1Department of Education, China Medical University Hospital, Taichung Taiwan
- 2School of Medicine, College of Medicine, China Medical University, Taichung, Taiwan
- 3Department of Orthopedic Surgery, China Medical University Hospital, China Medical University, Taichung, Taiwan
- 4Spine Center, China Medical University Hospital, China Medical University, Taichung, Taiwan
- 5Department of Sports Medicine, College of Health Care, China Medical University, Taichung, Taiwan
- 6Department of Orthopedic Surgery, China Medical University Beigang Hospital, China Medical University, Yunlin County, Taiwan
- 7Graduate Institute of Biomedical Sciences, China Medical University, Taichung, Taiwan
- KMID: 2562229
- DOI: http://doi.org/10.21182/jmisst.2024.01284
Abstract
Objective
The aim of this study was to investigate the efficacy of endoscopically visualized radiofrequency for treating sacroiliac joint pain.
Methods
The study protocol was preregistered on INPLASY (INPLASY202450011). A systematic search was carried out across multiple databases, including PubMed, Embase, Cochrane CENTRAL, and Web of Science, from their inception until May 6, 2024. Peer-reviewed studies on human participants with low back pain diagnosed with sacroiliac joint pain and treated with endoscopically visualized radiofrequency ablation (RFA) were included. The study focused on evaluating changes in the visual analogue scale (VAS) and Oswestry Disability Index (ODI) from before the commencement of endoscopically visualized radiofrequency to postoperation. The quantitative syntheses employed a random-effects model, with effect sizes reported using the mean difference. Subgroup analyses were conducted based on 6-month and 12-month postoperative time points.
Results
Four studies were ultimately included in this meta-analysis. Three of the studies were case series, while one was a retrospective cohort study. The mean difference of VAS scores between the preoperative and 6-month and 12-month postoperative assessments was -5.60 and -5.96, respectively. The mean difference of the ODI between preoperative and 6-month and 12-month postoperative assessments was -21.03 and -23.67, respectively. A subgroup analysis of both outcome measurement indices at the 2 follow-up time points did not reveal any statistically significant differences.
Conclusion
Endoscopically visualized RFA demonstrates potential as a treatment modality for sacroiliac joint pain; however, there is currently insufficient evidence to substantiate its long-term efficacy.
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