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    Comparison of Ultrasound-Guided Genicular Pulse Radiofrequency and Fluoroscopy-Guided Intra-Articular Pulse Radiofrequency for Knee Osteoarthritis-Related Pain
    (Coll Physicians & Surgeons Pakistan, 2024) Horsanali, Burcu Ozalp; Guner, Derya
    Objective: To compare two different algological intervention technique outcomes with ultrasound-guided genicular pulse radiofrequency (PRF) and fluoroscopy-guided intra-articular pulse radiofrequency for knee osteoarthritis-related pain. Study Design: Observational study. Place and Duration of the Study: Izmir Bakircay University, Cigli Training and Research Hospital and Health Science University Tepecik, Training and Research Hospital, Izmir, Turkiye, between March 2022 and May 2023. Methodology: Patients aged 60 years and above with stage 3 and 4 knee osteoarthritis, experiencing knee pain for more than six months, and non-responsive to conservative treatments were included. Patients with recent knee surgery or intra-articular injections and those ineligible for radiofrequency application were excluded. Ultrasound-guided genicular nerve PRF and fluoroscopy-guided intraarticular PRF were administered to the included patients. Pain and quality of life were evaluated using the visual analogue scale (VAS) and Western Ontario and McMaster Universities Index of Osteoarthritis (WOMAC) scores before and after the procedures. Results: The study included 64 patients. Both ultrasound-guided genicular PRF and fluoroscopy-guided intra-articular PRF resulted in significant reductions in VAS and WOMAC scores at 1 and 3 months after the procedures. There was no significant difference in efficacy between the two techniques. Conclusion: Ultrasound-guided genicular PRF and fluoroscopy-guided intra-articular PRF are effective and safe options for managing knee osteoarthritis-related pain.
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    The importance of the cricoid cartilage as an anatomic land mark of cervical level
    (Springer, 2023) Horsanali, Burcu Ozalp; Tekgul, Zeki Tuncel; Esen, Ozguer; Senoglu, Gizem Demir
    BackgroundWe aimed to evaluate the correlation of the changes radiologically in the vertebral level of the cricoid cartilage according to age and gender to reduce the application difficulties and complication rates in cervical region nerve blockades and surgeries.ResultsThe mean age of all patients included in the study was 56.06 & PLUSMN; 17.22 years. We observed that while the line drawn from the cricoid cartilage to the vertebral column level passed over the C6 transverse process in women, it was below the C6 transverse process in men. A significant difference was also observed between the vertebral corpus level according to gender (p < 0.001). We could not find a significant difference between the transverse process and corpus level according to age.ConclusionsWe found a significant difference according to gender in the correlation of the cervical vertebra transverse process and corpus with the cricoid cartilage line which are two important levels frequently used in clinical practice to ensure successful and non-complicated blockage.