Radiofrequency ablation of the medial branch of the dorsal ramus of the spinal root guided by fluoroscopy

Authors

  • Diego Pallavicini Fundación CENIT para la Investigación en Neurociencias. Ciudad Autónoma de Buenos Aires. Argentina.
  • Fabián Piedimonte Fundación CENIT para la Investigación en Neurociencias. Ciudad Autónoma de Buenos Aires. Argentina. https://orcid.org/0000-0003-4661-4449
  • Nicolás Barbosa Fundación CENIT para la Investigación en Neurociencias. Ciudad Autónoma de Buenos Aires. Argentina.
  • Micaela García Fundación CENIT para la Investigación en Neurociencias. Ciudad Autónoma de Buenos Aires. Argentina.

DOI:

https://doi.org/10.47924/neurotarget2022118

Keywords:

radiofrequency, ablation, spinal root

Abstract

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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References

National Center for Health Statistics: Health, United States, 2008. Hyattsville, MD, US Department of Health and Human Services, 2009, pp 278 - 279. http://www.cdc.gov/nchs/data/hus/hus08.pdf.

Chain A, Valenzuela C. Evaluación y manejo del dolor lumbar de origen facetario. Rev. med. clin. Condes. 2014; 25(5):776-779

Kim JS, Ali MH, et al. Characterization of degenerative human facet joints and facet joint capsular tissues. Osteoarthritis and Cartilage. 2015; 23:2242e2251

Acevedo Gonzalez JC, Jimenez HE, Rodriguez JM, et al. Enfermedad facetaria lumbar. Analisis clinico de una serie de 37 pacientes con dolor lumbar tratados con bloqueo facetario lumbar. Revista colombiana de ortopedia y traumatologia. 2004;18(3):34-41

Waldman S D. Atlas of intervencional pain management. Ed Elsevier. Philadelphia. Fourth edition. 2015. p 473-477

O´Connor TC, Abram SE. Atlas of Pain Injection Techniques. Ed Elsevier. Philadelphia. Second edition. 2014. P 3-7

Hoppenfeld JD. Fundamentals of Pain Medicine: how to diagnose and treat you patients. Ed Wolters Kluwer Health. Phladelphia. First edition. 2014. P 142-152

Tomé Bermejo F, Barriga MA, Madruga Sanz JM, Delgado Alcalá V, Vicario Espinosa C. Dolor lumbar crónico de origen facetario. Eficacia del tratamiento mediante rizolisis percutánea. Patología del aparato locomotor. 2006;4(2):139-146

Published

2022-01-01

How to Cite

1.
Pallavicini D, Piedimonte F, Barbosa NB, García M. Radiofrequency ablation of the medial branch of the dorsal ramus of the spinal root guided by fluoroscopy. NeuroTarget [Internet]. 2022 Jan. 1 [cited 2025 Jun. 23];16(1):51-3. Available from: https://neurotarget.com/index.php/nt/article/view/118

Issue

Section

Short communications