Case report: Basivertebral nerve block during vertebral augmentation: an alternative approach to intraprocedural pain management

Osteoporotic compression fractures can be treated with vertebral augmentation. Since intraprocedural pain is common during body endplate manipulation, these procedures are often performed conscious sedation or general anesthesia. Research has shown that endplates innervated by the basivertebral nerve (BVN), which been successfully targeted via radiofrequency ablation to treat chronic vertebrogenic lower back pain. With this physiology in mind, we evaluated if temporary BVN block would provide sufficient analgesia so patients could forego percutaneous Ten single-level were selected. Prior balloon augmentation, intraosseous was achieved using 2% lidocaine injection. All ten completed their procedure without sedative narcotic medications, and significant deviation from baseline vital signs. Temporary used as anesthesia select who may poor candidates for sedation.