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UnknownNCT05813639

EuroPainClinicsStudy XIr-Zj

EuroPainClinicsStudy XIr-Zj (Cryoablation vs Radiofrequency Ablation of Medial Nerve Branches of Dorsal Roots Crossing Z Joints)

Status
Unknown
Phase
N/A
Study type
Interventional
Enrollment
150 (actual)
Sponsor
EPC Education s.r.o. · Academic / Other
Sex
All
Age
20 Years – 80 Years
Healthy volunteers
Not accepted

Summary

Determine the efficacy of lumbar medial branch neurotomy by radiofrequency and cryoablation in patients with chronic low back pain

Detailed description

Facet joint pain encompasses a significant portion of the possible sources of pain in patients with vertebrogenic algic syndrome.A typical symptom caused by facet joint irritation of the medial branch nerve is a back pain with intermittent irregular patchy pain spreading to the legs. The cause of this pain is irritation of the medial branch of the dorsal nerve root which innervates a facet joint. Confirmation of the source of the pain involves local anaesthetic blocks of the medial nerve branches in several adjoining vertebral areas. If this test is positive, then the patient's condition is indicated for radiofrequency ablation or cryoablation of the nerve branches. Description of interventional procedures: Patients with chronic low back pain with confirmed zygapophysial joint pain after previous two medial branch nerve blocks with positive results are indicated for radiofrequency medial neurotomy or alternative cryoablation neurotomy. Navigation with probes in both cases is arranged and directed according to fluoroscopic imaging.

Conditions

Interventions

TypeNameDescription
PROCEDURELumbar medial branch cryo ablation neurotomyThe procedure is based on positive lumbar Z- joint testing followed by medial branch neurotomy
PROCEDURELumbar medial branch radiofrequency ablation neurotomyThe procedure is based on positive lumbar Z- joint testing followed by medial branch neurotomy
PROCEDUREEndoscopic denervation of fazet jointThe procedure is based on positive lumbar Z- joint testing followed by decapsulation of the facet joint through an endoscopic approach

Timeline

Start date
2023-04-02
Primary completion
2023-06-01
Completion
2024-07-01
First posted
2023-04-14
Last updated
2023-04-14

Locations

1 site across 1 country: Slovakia

Source: ClinicalTrials.gov record NCT05813639. Inclusion in this directory is not an endorsement.