Lumbar Radiofrequency Ablation: Procedural Technique
- PMID: 31999651
- DOI: 10.1097/BSD.0000000000000780
Lumbar Radiofrequency Ablation: Procedural Technique
Abstract
Lumbar radiofrequency ablation is indicated for the treatment of chronic axial low back pain that is mediated by facet arthropathy which has failed more conservative treatment options. This article details proper equipment and medications, patient positioning and setup, step-by-step instructions for multiplanar fluoroscopic visualization, cannula placement, and postoperative management. Pearls and pitfalls are also discussed. In addition, an instructional procedure video (Supplemental Digital Content 1, http://links.lww.com/CLINSPINE/A90) accompanies this paper.
References
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- Lau P, Mercer S, Govind J, et al. The surgical anatomy of the lumbar medial branch neurotomy (facet denervation). Pain Med. 2004;5:289–298.
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- Bogduk NBogduk N. Principles of thermal radiofrequency neurotomy. Practice Guidlelines for Spinal Diagnostic and Treatment Procedures, 2nd ed. San Francisco: Spine Intervention Society; 2013:32.
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- Kornick C, Kramarich SS, Lamer TJ, et al. Complications of lumbar facet radiofrequency denervation. Spine. 2004;29:1352–1354.
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