After The Needle Knife Treatment Lumbar Spinal Nerve Rami Arthritisclinical Observation

Objective:Clinical knife after release of the medial branch of spinal nerves branch combined lumbar facet joint articular closed Clinical efficacy of lumbar facet joint osteoarthritis treatment, after the needle knife lumbar medial branch nerve in the clinical application of theoretical in accordance with.Methods:This clinical study were from 2014.03-2014.12 during the First Affiliated Hospital of Heilongjiang University of Chinese Medicine orthopedic outpatient lumbar facet joint osteoarthritis patients.According to the diagnostic criteria of cases, inclusion criteria and exclusion criteria of cases,122 cases of selected patients, all patients were randomly divided into treatment group and the control group in the treatment group and 61 in the control group of 61 people,The treatment group combined medial branch nerves after spinal needle knife facet joint articular closed operation method,The control group with oral and intravenous blood circulation, sinews and bones, anti-inflammatory pain medications, combined decoction, TCM herbs, herbal fumigation exercise lumbar back and other methods.Two weeks for a course of treatment. Using the Japanese Orthopaedic Association (JOA) score low back pain and visual analogue scale (VAS) before and after visual computing to improve the rate and method of treating pain score differences, compare, analyze the clinical efficacy of different treatment options through after the treatment group and the control group of patients;Through the use of anatomy, imaging, neurology and statistical knowledge, elaborated after the needle knife lumbar medial branch nerve principles, methods and clinically applicable disease.Results:The two groups of patients before treatment visual analog scale score was no significant difference. Treated patients in obvious pain relief after treatment, a significant effect, and treatment group visual analog scale score was significantly lower than the control group. Treatment group were cured in 6 cases,41 cases,14 cases ineffective, efficiency 77.0%; control group, five cases were cured, effective in 24 cases,32 cases ineffective, efficiency of 47.5%. Effective treatment group was higher, no significant difference (P> 0.05) between the two groups.Conclusion:The needle knife rami of spinal nerves term efficacy of treatment of lumbar facet joint osteoarthritis precise, simultaneous treatment with a simple, safe, reliable, minimally invasive operation, the treatment time is short, low-cost, accurate positioning, the more side effects small, worthy of promotion.Anatomical studies show:dorsal branch of the medial branch of bone fiber tube position is more fixed in their trip, as a release point of the knife when operating. After the needle knife spinal nerve medial branch includes two aspects, including not only neurolysis, damaged, including the late self-regeneration, repair, due to the characteristics of the lower back nerve overlapping cross distribution knife rami of spinal nerves after release of the lower back feel and function has no effect.