Radiofrequency treatments for lumbar facet joint syndrome: a systematic review and network meta-analysis
Authors' conclusion
This NMA demonstrates that endoscopic neurotomy is the most effective treatment for lumbar FJS, providing superior and sustained pain relief and functional improvement compared with other treatments.
Study context
- Population
- Patients with lumbar facet joint syndrome (chronic low back pain (LBP))
- Participants
- 1,969 patients · 25 randomized controlled trials (RCTs)
- Comparison
- Radiofrequency treatments vs other treatments
- Outcome
- Pain score and Oswestry Disability Index (ODI)
Methodological detailsfrequentist network meta-analysis (NMA), conventional pairwise meta-analysis, SUCRA ranking, Mixed quality regarding risk of bias; most studies low risk of bias for most domains
- Frequentist NMA
- Conventional pairwise meta-analysis
- SUCRA ranking
- Mixed quality regarding risk of bias; most studies low risk of bias for most domains
Pooled result
As reported in the abstract
Pain reduction and ODI improvement (SUCRA ranking) · 1, 3, 6, and 12 months
SUCRA for pain reduction, endoscopic neurotomy, 1 month
0.833
SUCRA for pain reduction, endoscopic neurotomy, 6 months
0.860
Original publication
Radiofrequency treatments for lumbar facet joint syndrome: a systematic review and network meta-analysis. Reg Anesth Pain Med. Published 31 October 2024. doi:10.
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