Abstract ID: A24

Abstract Title: Pulsed Radiofrequency Neurotomy (PRFN) In The Geriatric Population

Poster Type:

ABSTRACT BODY

INTRODUCTION:
Treatment of chronic pain disorders in the geriatric population poses unique challenges. Pulsed radiofrequency neurotomy (PRFN)is a valuable tool for preservation of function, quality of life and autonomy in this age group. Currently no specific data exists on PRFN in the geriatric population. The aim of the current study is to obtain initial safety and efficacy data for PRFN in geriatrics.

METHODS:
After IRB approval, all patients 65 years of age and older, who were treated with PRFN from 3/2000 to 7/2002 were retrospectively studied. Subjects with prior neurolytic therapies for the same diagnosis were excluded. The responses to treatment were divided into 4 categories: Excellent(E), Good(G), Fair(F), No Change(N). The records were reviewed for all possible complications.

RESULTS:
53 subjects satisfied the inclusion/exclusion criteria. Mean age 74, range 65-87, 34 female, 19 male. 70% of subjects with facet and SI arthropathy reported a favorable response to treatment (E-38%,G-7%,F-31%,N-24%). The historical response rate for high temperature radiofrequency RF for facet and SI arthropathy is 45-89%. The overall PRFN response rate for all diagnoses was 67%. The overall complication rate was 4% which included 2 cases of post-op dysesthesias. There were no complications lasting beyond one month.

DISCUSSION:
PRFN is a proven safe and effective therapy for facet and sacroiliac arthropathy as well as a variety of other chronic painful disorders. PRFN, alone or in combination with other therapies is a valuable tool in preservation of function, quality of life and autonomy in the geriatric population. Further prospective analysis is warranted.

REFERENCES:
1. The Management Of Persistent Pain In Older Persons. J Am Geriatr Soc 50:S205-S224, 2002.
2. Pulsed Radiofrequency Neurotomy: Advances In Pain Medicine.
Ahadian, FM. Curr Pain Headache Rep Feb;8(1):34-40, 2004.

ATTACHED FILES

A24_TABLE.doc

Reg Anesth Pain Med 2004; 29(2):A24