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. 2020 Feb 29;14(1):18-25.
doi: 10.14444/7002. eCollection 2020 Feb.

International Society for the Advancement of Spine Surgery Guideline-Intraosseous Ablation of the Basivertebral Nerve for the Relief of Chronic Low Back Pain

Morgan Lorio  1 , Olivier Clerk-Lamalice  2 , Douglas P Beall  3 , Terrence Julien  4
Affiliations

International Society for the Advancement of Spine Surgery Guideline-Intraosseous Ablation of the Basivertebral Nerve for the Relief of Chronic Low Back Pain

Morgan Lorio et al. Int J Spine Surg. .

Abstract

This International Society for the Advancement of Spine Surgery guideline is generated to respond to growing requests for background, supporting literature and evidence, and proper coding for intraosseous ablation of the basivertebral nerve for chronic low back pain.

Keywords: basivertebral nerve; chronic low back pain; intraosseous ablation; vertebrogenic pain.

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Conflict of interest statement

Disclosures and COI: ML: None.

Figures

Figure 1
Figure 1
Modic change 1 (MC1) and Modic change 2 (MC2) illustrated. (A) and (B) demonstrate decreased signal intensity on T1-wighted images and increased signal intensity on T2-weighted images, respectively (white arrows) corresponding to MC1. (C) and (D) correspond to MC2 with increased signal intensity on T1-weighted images and on T2-weighted images, respectively (white arrows).
Figure 2
Figure 2
Bar graph demonstrating mean Oswestry Disability Index changes at 3 months both for the basivertebral nerve (BVN) ablation and the standard care groups. Statistically significant improvement of the patients' function is noted in the BVN group (P < .001).
Figure 3
Figure 3
Bar graph demonstrating the mean difference in the visual analog scale at 3 months both for the basivertebral nerve (BVN) ablation and standard care groups. Statistically significant improvement in patients treated with BVN is noted (P < .001).
Figure 4
Figure 4
Mean Oswestry Disability Index score in per-protocol treatment arm followed up to 24 months.
Figure 5
Figure 5
Shows the 24 month Oswestry Disability Index and visual analog scale responder rate per-protocol arm at 24 months (N = 106).
See this image and copyright information in PMC

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