{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T04:25:11Z","timestamp":1742963111551,"version":"3.40.3"},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>In mehreren Studien wurde berichtet, dass Kreuzschmerzen in der Bev\u00f6lkerung mit bis zu 85% eine hohe Pr\u00e4valenz aufweisen. Die perkutane Radiofrequenz-Facettengelenkdenervation (PRFD) ist heute der Goldstandard bei der Rhizotomie von chronischen Kreuzschmerzen (CLBP). Bisher ver\u00f6ffentlichte Studien zeigen jedoch kontroverse Ergebnisse \u00fcber die Wirksamkeit der PRFD. Ziel dieser Studie war es daher, den Einsatz der endoskopischen Facettengelenkdenervation (EJE) zur Behandlung chronischer Kreuzschmerzen zu analysieren und potenzielle Risikofaktoren zu ermitteln, die die Indikationen f\u00fcr den Eingriff einschr\u00e4nken k\u00f6nnten.<\/jats:p><jats:p>Wir haben retrospektiv 31 Patienten in die Studie eingeschlossen, die seit mindestens 24 Monaten an chronische Kreuzschmerzen leiden. Alle Patienten wurden einer endoskopischen Facettengelenkdenervation unterzogen und mussten postoperativ ODI-, COMI-, EQ-5D- und VRS-Scores ausf\u00fcllen, wobei die Nachbeobachtungszeit mindestens 12 Monate betrug. Zur Analyse der Korrelationen wurden grundlegende Patientendaten erfasst.<\/jats:p><jats:p>Bei allen gemessenen klinischen Werten, wie ODI, COMI, EQ-5D und VRS, wurde eine signifikante Verbesserung festgestellt. W\u00e4hrend das beste Ergebnis bei der 3-monatigen Nachuntersuchung erzielt wurde, wurde bei der 12-monatigen Nachuntersuchung eine leichte Verschlechterung festgestellt. Im Vergleich zu den pr\u00e4operativen Scores wurde jedoch ein signifikanter Nutzen festgestellt. 28\/31 Patienten (93,3%) berichteten bei der Nachuntersuchung nach 12 Monaten \u00fcber geringere Schmerzen und waren mit dem Verfahren zufrieden. \u00c4lteres Alter und psychiatrische Vorerkrankungen wurden als potenzielle Risikofaktoren identifiziert, die mit einem schlechteren Ergebnis einhergehen. Postoperative Komplikationen wie H\u00e4matome, eine Sensibilit\u00e4tsst\u00f6rung und eine vor\u00fcbergehende Muskelschw\u00e4che der unteren Extremit\u00e4ten wurden selten beobachtet.<\/jats:p><jats:p>Die endoskopische Facettengelenkdenervation zeigte eine signifikante Verbesserung der klinischen Ergebnisse und der VRS im Vergleich zu den pr\u00e4operativen Werten von Patienten mit einer mindestens 12 Monate bestehenden chronischen Kreuzschmerzen vor der Operation. \u00c4ltere Patienten und Patienten mit psychiatrischen Vorerkrankungen profitieren weniger von dem Eingriff.<\/jats:p>","DOI":"10.1055\/a-2348-1186","type":"journal-article","created":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T23:27:20Z","timestamp":1724714840000},"page":"167-175","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Outcome after Endoscopic Facet Denervation in Patients with Chronic Low Back 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