Radiofrequency Ablation of Rammii Communicans Versus Annuloplasty in Discogenic Back Pain

Inclusion Criteria: * Patients who were 18 years or older * Chronic LBP persisted for more than three months * Failed medical treatment * Axial LBP with or without leg radicular pain experienced pain exacerbation by sitting (intolerance to sitting), bending forward, coughing or sneezing, and partially relieved with lateral recumbent position, standing, or walking. * Patients with a Numeric Rating Scale of pain severity of five points or higher, specifically to the daily LBP, were included in the study. * The examination criteria for the study included tenderness on deep pressure of the spine process at the level of the degenerated disc and no neurological motor deficits. * The magnetic resonance imaging (MRI) criteria required images to show clear evidence of degenerative disc disease in one or two-disc levels that include a high intensity zone (HIZ) in the posterior annulus and dark disc with or without loss of height Exclusion Criteria: * Encompassed patients with clinical evidence of progressive motor neurological deficits, * MRI evidence of intervertebral disc herniation measuring 4 mm or more, sequestration, extrusion, disc space collapse, or spondylolisthesis at the symptomatic level. * Patients with moderate to-severe central spinal canal or foraminal stenosis, * Previous lumbar surgery at the same treatment level, * Spinal fractures, deformities * Infections or tumors * Patients with psychotic illnesses, uncontrolled diabetes, advanced hepatic conditions, current p…