Endoscopic Sacrolumbar Facet Joint Denervation in Osteoarthritic and Degenerated Zygapophyseal Joints

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2018 Dec 29

PMID 30591874

Citations 6

Authors

Sebastian G Walter

Frank Alexander Schildberg

Yorck Rommelspacher

Affiliations

Soon will be listed here.

Abstract

Chronic low-back pain (CLBP) has an increasing incidence and yields a tremendous health economic burden. There are different anatomic structures that may be responsible for CLBP, such as lumbar intervertebral discs, sacroiliac joints, nerve root dura, fascia, ligaments, and muscles. However, to a large extent, CLBP is associated with structural changes in and around the facet (zygapophyseal) joint. If conservative treatment strategies fail, symptoms and pain can effectively be reduced by denervation or rhizotomy of the medial branch of the dorsal ramus of the spinal nerve through radiofrequency ablation. In this technical description with video, we present an endoscopic technique for radiofrequency rhizotomy. This technique has the advantage of directly visualizing the facet joint as well as its surrounding structures including the medial branches.

Citing Articles

Percutaneous radiofrequency ablation and endoscopic neurotomy for lumbar facet joint syndrome: are they good enough?.

Du R, Gao J, Wang B, Zhang J, Meng M, Wang J Eur Spine J. 2023; 33(2):463-473.

PMID: 38141106 DOI: 10.1007/s00586-023-08078-5.

Personalized Interventional Surgery of the Lumbar Spine: A Perspective on Minimally Invasive and Neuroendoscopic Decompression for Spinal Stenosis.

Lewandrowski K, Yeung A, Lorio M, Yang H, Leon J, Soriano Sanchez J J Pers Med. 2023; 13(5).

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Radiofrequency Ablation for Chronic Lumbar Zygapophyseal Joint Pain Using a V-Shaped Active Tip Needle: An Observational Retrospective Study.

Lo Bianco G, Misseri G, Stogicza A, Cesare G, Li S, Day M J Pain Res. 2023; 16:1243-1255.

PMID: 37069943 PMC: 10105587. DOI: 10.2147/JPR.S406714.

Facet Joint Syndrome: Pathophysiology, Diagnosis, and Treatment.

Du R, Xu G, Bai X, Li Z J Pain Res. 2022; 15:3689-3710.

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Endoscopic Facet Joint Denervation on the Lumbar Spine: A Retrospective Analysis.

Wallscheid F, Manthey M, Olsen J, Oikonomidis S, Meyer C, Eysel P Asian Spine J. 2022; 17(2):382-391.

PMID: 36470244 PMC: 10151623. DOI: 10.31616/asj.2021.0150.

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