[Percutaneous radiofrequency neurotomy of lumbar medial branch (facet rhizotomy)--a report of 6 cases].
Hiroaki Yamagami, Kazuhiro Hashizume, Kazuyoshi Nakahashi, T. OKUDA
Abstract
Hiroaki Yamagami, Kazuhiro Hashizume, Kazuyoshi Nakahashi, T. OKUDA
Abstract
We performed radiofrequency neurotomy of lumbar medial branch as a treatment of facet syndrome. Our six cases had no indication for surgical therapy, such as neuralgia, spinal canal stenosis without neurological deficit except for pain and deformed spines. Facet joint injection with regional anesthetics and steroids could not prevent their recurrent back pain. By facet rhizotomy, they could obtain relief of back pain for several months to a year. We conclude that facet rhizotomy is a more effective method for facet syndrome when a proper indication is present.
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We performed radiofrequency neurotomy of lumbar medial branch as a treatment of facet syndrome. Our six cases had no indication for surgical therapy, such as neuralgia, spinal canal stenosis without neurological deficit except for pain and deformed spines. Facet joint injection with regional anesthetics and steroids could not prevent their recurrent back pain. By facet rhizotomy, they could obtain relief of back pain for several months to a year. We conclude that facet rhizotomy is a more effective method for facet syndrome when a proper indication is present.
Key concepts: Neurotomy, Rhizotomy, Medicine, Lateral recess, Facet (psychology), Facet joint, Zygapophyseal Joint, Percutaneous