Radiofrequency ablation of the medial branch of the dorsal ramus of the spinal root guided by fluoroscopy
DOI:
https://doi.org/10.47924/neurotarget2022118Keywords:
radiofrequency, ablation, spinal rootAbstract
Low back pain is one of the most common reasons for consultation with neurosurgeons, being the most frequent cause of activity limitation in patients over 45 years of age. It is estimated that 70 to 80% of the population will suffer from some episode of low back pain during their life. This may originate in various structures such as the muscles, ligaments, discs and degeneration of the facet joints.
Facet pain is defined as pain located in the lumbar or lumbosacral region with eventual irradiation to the proximal segment of the lower extremities, without dermatomeric distribution, which has as its etiological source the inflammatory involvement of the facet joints, often secondary to the degenerative process.
This procedure is indicated for somatic low back pain of facet origin of at least 3 months of evolution, which causes functional disability and does not respond to conservative treatment.
Performing a facet innervation block with positive results is imperative to predict a good response to ablation.
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Copyright (c) 2022 Diego Pallavicini, Fabián Piedimonte, Nicolás Barbosa, Micaela García

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