Comparative study between Racz technique alone and Racz with radiofrequency in the management of failed back surgery syndrome
Ebraheem, H., El-Aasar, N., Balata, A., Ahmed, U. (2020). Comparative study between Racz technique alone and Racz with radiofrequency in the management of failed back surgery syndrome. EKB Journal Management System, 26(4), 631-639. doi: 10.21608/zumj.2019.14257.1300
Heba Ebraheem; Neveen mahmoud El-Aasar; ahmed Abdel Hakeem Balata; Usama Yehia Ahmed. "Comparative study between Racz technique alone and Racz with radiofrequency in the management of failed back surgery syndrome". EKB Journal Management System, 26, 4, 2020, 631-639. doi: 10.21608/zumj.2019.14257.1300
Ebraheem, H., El-Aasar, N., Balata, A., Ahmed, U. (2020). 'Comparative study between Racz technique alone and Racz with radiofrequency in the management of failed back surgery syndrome', EKB Journal Management System, 26(4), pp. 631-639. doi: 10.21608/zumj.2019.14257.1300
Ebraheem, H., El-Aasar, N., Balata, A., Ahmed, U. Comparative study between Racz technique alone and Racz with radiofrequency in the management of failed back surgery syndrome. EKB Journal Management System, 2020; 26(4): 631-639. doi: 10.21608/zumj.2019.14257.1300

Comparative study between Racz technique alone and Racz with radiofrequency in the management of failed back surgery syndrome

Zagazig University Medical Journal
Article 13, Volume 26, Issue 4, July 2020, Page 631-639  XML PDF (798.39 K)
Document Type: Original Article
DOI: 10.21608/zumj.2019.14257.1300
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Authors
Heba Ebraheem email 1; Neveen mahmoud El-Aasar2; ahmed Abdel Hakeem Balata3; Usama Yehia Ahmed3
1Anathesia and ICU , Zagazig University, Zagazig , Egypt
2anesthesia and icu, faculty of medicine, zagazig university, zagazig city, egypt
3anesthesia and surgical icu, faculty of medicine, zagazig university, zagazig city, egypt
Abstract
Abstract
Background
Failed Back Surgery Syndrome refers to patients with persistent pain after spinal surgery for back pain. The technique described by Racz and colleagues involves epidurography, adhesiolysis, and injection of hyaluronidase, bupivacaine, , and 10% sodium chloride on day 1. Radiofrequency ablation is a technique uses high-frequency current to produce heat and tissue coagulation. The procedure used radio wave, applied via a percutaneous probe to generate heat, and create a lesion in the nerve.
Patients and methods
This study was conducted on 60 Failed Back Surgery Syndrome patients classified into two groups each of 30 patients. FBSS treated by Racz technique (group I) and the other group (II) treated by Racz plus radiofrequency.
Results
VAS score and Oswestry score used to assess both techniques daily for a week then weekly for a month, then monthly for 6 months, we found that both techniques showed statistically non- significant difference before the procedure, but showed a statistically highly significant difference between both groups after the techniques. There is a reduction of VAS score from a mean of 6.2 to 3.87 in group (I) and a reduction from 6.03 to 2.7 in group (II). There is a reduction of Oswestry score from a mean of 57.2 to 40.6 in group (I) and a reduction from 57.03 to 32.47 in group (II).
Conclusion
Using radiofrequency with Racz catheter adhesolysis gives better results than using Racz catheter alone in cases with failed back surgery syndrome.
Keywords: failed back surgery syndrome, pain, Racz, radiofrequency.
Keywords
failed back surgery syndrome; Pain; Racz; Radiofrequency
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