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Guia Lumbalgia (cambios 8 feb).FH10 - Digemid

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Bibliografía1. Dechow E, Davies RK, Carr AJ, Thompson PW (1999) A randomized, double-blind, placebocontrolledtrial of sclerosing injections in patients with chronic low back pain. Rheumatology(Oxford), 38(12): 1255-9.2. Klein RG, Eek BC, DeLong WB, Mooney V (1993) A randomized double-blind trial of dextroseglycerine-phenolinjections for chronic, low back pain. J Spinal Disord, 6(1): 23-33.3. Nelemans PJ, de Bie RA, de Vet HC, Sturmans F (2000) Injection therapy for subacute andchronic benign low back pain. Cochrane Database Syst Rev, (2): CD001824.4. Ongley MJ, Klein RG, Dorman TA, Eek BC, Hubert LJ (1987) A new approach to the treatmentof chronic low back pain. Lancet, 2(8551): 143-66.3.8. Rizolisis por radiofrecuenciaRecomendaciónNo se recomienda prescribir rizolisis a los pacientes con lumbalgiaSíntesis de la evidenciaEs contradictoria la evidencia sobre la eficacia (frente a placebo)de la rizolisis por radiofrecuenciaComentariosNivel C99 99Hay datos que sugieren que la rizolisis puede ser eficaz si se selecciona a lospacientes en los que realizarla con métodos más rigurosos que los usados en losensayos clínicos realizados hasta ahora en pacientes con lumbalgia mecánica, porlo que podría ser aconsejable realizar nuevos ensayos utilizando esos métodos.Bibliografía1. Dreyfuss P, Halbrook B, Pauza K, Joshi A, McLarty J, Bogduk N (2000) Efficacy and validity ofradiofrequency neurotomy for chronic lumbar zygapophysial joint pain. Spine, 25(10): 1270-7.2. Gallagher J, Periccione die Vadi PL, Wedley JR, Hamann W, Ryan P, Chikanza I, Kirkham B,Price, Watson RMS, Grahame R, Wood S (1994) Radiofrequency facet joint denervation in thetreatment of low back pain: a prospective controlled double-blind study to assess its efficacy.Pain Clin, 7: 193-98.3. Geurts JW, van Wijk RM, Stolker RJ, Groen GJ(2001) Efficacy of radiofrequency procedures forthe treatment of spinal pain: a systematic review of randomized clinical trials. Reg Anesth PainMed, 26(5): 394-400.4. Leclaire R, Fortin L, Lambert R, Bergeron YM, Rossignol M (2001) Radiofrequency facet jointdenervation in the treatment of low back pain: a placebo-controlled clinical trial to assess efficacy.Spine, 26(13): 1411-6; discussion 7.5. Niemisto L, Kalso E, Malmivaara A, Seitsalo S, Hurri H (2003) Radiofrequency denervation forneck and back pain: a systematic review within the framework of the cochrane collaboration backreview group. Spine, 28(16): 1877-88.

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