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Review
. 2022 Jun 30;39(2):162-166.
doi: 10.1055/s-0042-1745794. eCollection 2022 Apr.

Basivertebral Nerve Ablation

Junjian Huang  1 , Kevin Delijani  2 , Jesse Jones  3 , John Di Capua  4 , Husamuddin El Khudari  1 , Andrew J Gunn  1 , Joshua Hirsch  4
Affiliations
Review

Basivertebral Nerve Ablation

Junjian Huang et al. Semin Intervent Radiol. .

Erratum in

  • Erratum: Basivertebral Nerve Ablation.
    Huang J, Delijani K, Jones J, Di Capua J, El Khudari H, Gunn AJ, Hirsch JA. Huang J, et al. Semin Intervent Radiol. 2022 Sep 1;39(2):e1. doi: 10.1055/s-0042-1756329. eCollection 2022 Apr. Semin Intervent Radiol. 2022. PMID: 36060207 Free PMC article.

Abstract

Low back pain is one of the most prevalent musculoskeletal ailments in the United States. Intraosseous radiofrequency ablation of the basivertebral nerve is an effective and durable therapy for low back pain and can be offered to patients who have chronic low back pain of greater than 6 months of duration, failure to respond to noninvasive therapies for 6 months, with either Modic Type I or Type II changes at L3-S1. This article reviews the anatomy and physiology, patient selection, technique, and evidence regarding basivertebral nerve ablation.

Keywords: basivertebral nerve; interventional radiology; nerve ablation; pain management.

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Conflict of interest statement

Conflict of Interest None declared.

Figures

Fig. 1
Fig. 1
Diagram of basivertebral nerve (yellow) as it travels alongside the basivertebral vessels (blue).
Fig. 2
Fig. 2
Preoperative lumbar spine MR for patient undergoing basivertebral ablation. Sagittal T2-weighted ( a ) and T1-weighted ( b ) MR of the lumbar spine demonstrating endplate degenerative changes with increased T1 and T2 signals in L3 and L4 consistent with Modic Type II changes.
Fig. 3
Fig. 3
Intraprocedural images of L3 and L4 basivertebral nerves.
Fig. 4
Fig. 4
Postoperative lumbar spine MR in patient who underwent basivertebral ablation 5 months prior. Sagittal T2-weighted ( a ) and T1-weighted ( b ) images; T1/T2 signal hyperintensity in the intervened upon L3 and L4 vertebral bodies (arrows).
See this image and copyright information in PMC

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