Evidence map›Paper›PMID 40103655›Full record

ArticleInterventional pain medicine2025

The effectiveness of thoracic medial branch radiofrequency neurotomy using a three-tined electrode: A single-arm, retrospective cohort study.

Hasan Sen, Amanda Cooper, Andrew Stephens, Brook Martin, Robert S Burnham, Aaron Conger, Zachary L McCormick, Taylor R Burnham

Abstract read
In one paragraph

Article in Interventional pain medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hasan SenDepartment of Physical Medicine and Rehabilitation, University of Utah, Salt Lake City, UT, United States.
Amanda CooperDepartment of Physical Medicine and Rehabilitation, University of Utah, Salt Lake City, UT, United States.
Andrew StephensDepartment of Physical Medicine and Rehabilitation, University of Rochester Medical Center, Rochester, NY, United States.
Brook MartinDepartment of Orthopedics, University of Utah, Salt Lake City, UT, United States.
Robert S BurnhamDivision of Physical Medicine and Rehabilitation, University of Alberta, Edmonton, AB, Canada.
Aaron CongerDepartment of Physical Medicine and Rehabilitation, University of Utah, Salt Lake City, UT, United States.
Zachary L McCormickDepartment of Physical Medicine and Rehabilitation, University of Utah, Salt Lake City, UT, United States.
Taylor R BurnhamDepartment of Physical Medicine and Rehabilitation, University of Utah, Salt Lake City, UT, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Thoracic medial branch radiofrequency neurotomy (TMBRFN) is used to treat chronic thoracic facet joint pain, but research on its technique and effectiveness is still needed. The current International Pain and Spine Intervention Society Practice Guidelines do not describe a technique for TMBRFN. Objectives: Evaluate the effectiveness of TMBRFN in patients with thoracic facet joint pain. Methods: Single-arm, retrospective cohort study of consecutive patients from two Canadian musculoskeletal pain management clinics who underwent first-time TMBRFN between 2016 and 2022. The primary outcome was the proportion of patients with ≥50 % reduction in numerical rating scale (NRS) pain score at 3-months post-procedure. Secondary outcomes included the proportion of patients who achieved a ≥17-point reduction on the Pain Disability Quality-Of-Life Questionnaire-Spine (PDQQ-S) at 3-months, as well as mean patient-reported percentage pain relief and duration of relief after a successful index TMBRFN in individuals who reported a return of their index symptoms. Results: 18 consecutive patients (50.0 % male; mean age 60.9 ± 15.3 years; mean BMI 30.3 ± 6.9 kg/m Conclusion: Within this cohort, approximately 60 % of patients experienced improvement in pain and disability at 3 months following TMBRFN. Among patients whose index symptoms returned after successful treatment, the average reported pain relief was 70 % for close to 9 months. Larger, prospective studies with long-term outcomes are needed to better elucidate the safety and effectiveness of TMBRFN.

Indexed as

Facet joint painRadiofrequency ablationThoracic medial branch

Identifiers

PMID40103655
PMCPMC11914737

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.