The Effect of Intraoperative Facet Joint Denervation in The Prophylaxis of Back Pain after Spinal Fixation: A Randomized Prospective Controlled Single-Blind Study

Mohamed Ali Abbas, Lecturer of Neurosurgery, Faculty of Medicine, Kafr Elsheikh University, Kafr Elsheikh, EgyptFollow
Ahmed Zaghlol, Professor of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt
Ayman M Ismail, Assistant Professor of Neurosurgery, Faculty of Medicine, Kafr El-Sheikh University, Kafr El-Sheikh, Egypt
Hamdy Nabwi, Assistant Professor of Neurosurgery, Faculty of Medicine, MUST University, Cairo, Egypt
Mohamed Ismail, Lecturer of Neurosurgery, Faculty of Medicine, Cairo University, Cairo, Egypt
Ahmed Sameh Nada, Lecturer of Neurosurgery, Faculty of Medicine, Port Said University, Port Said, Egypt.
Mona Mokhtar, Lecturer of Rheumatology and Rehabilitation, Faculty of Medicine for girls, Al Azhar University, Cairo, Egypt.
Ahmed Shaker Elakhras, Lecturer of Neurosurgery, Faculty of Medicine, Kafr El-Sheikh University, Kafr El-Sheikh, Egypt

Subject Area

Neurosurgery

Article Type

Original Study

Abstract

Background: Failed back surgery syndrome (FBSS) remains a significant challenge after fixation procedures of the spine. The present research assessed the efficacy of intraoperative facet joint denervation in preventing postoperative back pain in individuals undergoing spinal fixation. Methods: A randomized retrospective controlled single-blind study was carried out on 70 patients requiring spinal fixation assigned to two equal groups: Group A: intraoperative facet joint denervation was performed, while Group B was a control group. Pain levels were evaluated utilizing the visual analog scale (VAS) for 7 days following surgery. Follow-up visits occurred at 2 weeks, 1, 3, and 6 months. The primary outcome was FBSS incidence. Secondary outcomes included operative time, VAS scores, Oswestry Disability Index (ODI), and complications. Results: The VAS scores of Group A were noticeably reduced after 2 weeks, 1, 3, and 6 months after the operation (p

Recommended Citation

Abbas, Mohamed Ali; Zaghlol, Ahmed; Ismail, Ayman M; Nabwi, Hamdy; Ismail, Mohamed; Nada, Ahmed Sameh; Mokhtar, Mona; and Elakhras, Ahmed Shaker (2025) "The Effect of Intraoperative Facet Joint Denervation in The Prophylaxis of Back Pain after Spinal Fixation: A Randomized Prospective Controlled Single-Blind Study," Mansoura Medical Journal: Vol. 54 : Iss. 1 , Article 3.
Available at: https://doi.org/10.58775/2735-3990.1436