Correlation of Lumbar Medial Branch Neurotomy Results with Diagnostic Medial Branch Block Cutoff Values to Optimize Therapeutic Outcome
نویسندگان
چکیده
منابع مشابه
The surgical anatomy of lumbar medial branch neurotomy (facet denervation).
OBJECTIVE To demonstrate the validity of placing electrodes parallel to the target nerve in lumbar radiofrequency neurotomy. DESIGN Previous data on the anatomy of the lumbar dorsal rami were reviewed and a demonstration cadaver was prepared. Under direct vision, electrodes were placed on, and parallel to, the L4 medial branch and the L5 dorsal ramus. Photographs were taken to record the plac...
متن کاملA narrative review of lumbar medial branch neurotomy for the treatment of back pain.
BACKGROUND Confusion persists concerning the nature and efficacy of procedures variously known as facet denervation, lumbar medial branch radiofrequency neurotomy, and radiofrequency neurotomy or denervation for the treatment of back pain. Systematic reviews have not recognized the importance of patient selection and correct surgical technique when appraising the literature. As a result, negati...
متن کاملAre diagnostic lumbar medial branch blocks valid? Results of 2-year follow-up.
The precise cause of low back pain based on clinical history, physical examination, radiological imaging, and electrophysiological testing can be identified in only 15% of patients in the absence of disc herniation and neurological deficit. The prevalence of chronic lumbar zygapophysial (facet) joint pain ranges from 15% to 45% utilizing comparative local anesthetic blocks in controlled setting...
متن کاملPainful medial branch neuroma treated with minimally invasive medial branch neurectomy.
STUDY DESIGN Case report. OBJECTIVE To report an unusual complication following lumbar facet radiofrequency denervation and describe a successful, minimally invasive treatment of a presumed medial branch neuroma. SUMMARY OF BACKGROUND DATA Radiofrequency medial branch neurotomy is a common procedure for the treatment of mechanical back pain. Deafferentation injury and neuroma formation is w...
متن کاملUltrasound versus fluoroscopy-guided medial branch block for the treatment of lower lumbar facet joint pain
The aim of this study was to compare the mid-term effects and benefits of ultrasound (US)-guided and fluoroscopy (FL)-guided medial branch blocks (MBBs) for chronic lower lumbar facet joint pain through pain relief, functional improvement, and injection efficiency evaluation.Patients with chronic lumbar facet joint pain who received US (n = 68) or FL-guided MBBs (n = 78) were included in this r...
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ژورنال
عنوان ژورنال: Pain Medicine
سال: 2012
ISSN: 1526-2375,1526-4637
DOI: 10.1111/j.1526-4637.2012.01500.x