Editor-in-Chief: Kenneth D. Candido, MD

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  1. IPM 2019;3;99-103 A Modified Pain Therapy for Thoracic Compression Fracture in the Elderly: Cooled Radiofrequency Ablation at Thoracic Facet Joints
    Case Report
    Shang Yi Lee, MD, Yi-Ying Chiang, MD, Yu-Chen Liu, MD, Kuen-Bao Chen, MD, PhD, and Yeong-Ray Wen, MD, PhD.

We reported an alternative therapy for 2 cases respectively with acute and old thoracic compression fracture and persistent back pain. A 94-yearold woman who had multiple comorbidities suffered from severe pain that was caused by an acute thoracic spine compression fracture. The other patient was an 89-year-old man with an old thoracic compression fracture for 2 years. Neither of them could have satisfactory pain relief by the conservative treatments. Surgical intervention was also not considered. Cooled radiofrequency ablation was applied to both patients’ thoracic facet joints. The 2 patients’ back pain improved considerably after the ablation. Cooled radiofrequency ablation over thoracic facet joints could be a pain management alternative for relieving thoracic compression fracture-related pain.

KEY WORDS: Compression fracture, thoracic vertebra, cooled radiofrequency denervation, facet joint, comorbidity