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Walter SG, Schildberg FA, Rommelspacher Y. Endoscopic Sacrolumbar Facet Joint Denervation in Osteoarthritic and Degenerated Zygapophyseal Joints. Arthrosc Tech. 2018;7(12):e1275-e1279doi: 10.1016/j.eats.2018.08.014.
Walter, S. G., Schildberg, F. A., & Rommelspacher, Y. (2018). Endoscopic Sacrolumbar Facet Joint Denervation in Osteoarthritic and Degenerated Zygapophyseal Joints. Arthroscopy techniques, 7(12), e1275-e1279. https://doi.org/10.1016/j.eats.2018.08.014
Walter, Sebastian G, et al. "Endoscopic Sacrolumbar Facet Joint Denervation in Osteoarthritic and Degenerated Zygapophyseal Joints." Arthroscopy techniques vol. 7,12 (2018): e1275-e1279. doi: https://doi.org/10.1016/j.eats.2018.08.014
Walter SG, Schildberg FA, Rommelspacher Y. Endoscopic Sacrolumbar Facet Joint Denervation in Osteoarthritic and Degenerated Zygapophyseal Joints. Arthrosc Tech. 2018 Nov 12;7(12):e1275-e1279. doi: 10.1016/j.eats.2018.08.014. eCollection 2018 Dec. PMID: 30591874; PMCID: PMC6305902.
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Arthrosc Tech. 2018 Nov 12;7(12):e1275-e1279. doi: 10.1016/j.eats.2018.08.014. eCollection 2018 Dec.

Endoscopic Sacrolumbar Facet Joint Denervation in Osteoarthritic and Degenerated Zygapophyseal Joints.

Arthroscopy techniques

Sebastian G Walter, Frank Alexander Schildberg, Yorck Rommelspacher

Affiliations

  1. Department for Orthopedic Surgery, University Hospital Bonn, Bonn, Germany.

PMID: 30591874 PMCID: PMC6305902 DOI: 10.1016/j.eats.2018.08.014

Abstract

Chronic low-back pain (CLBP) has an increasing incidence and yields a tremendous health economic burden. There are different anatomic structures that may be responsible for CLBP, such as lumbar intervertebral discs, sacroiliac joints, nerve root dura, fascia, ligaments, and muscles. However, to a large extent, CLBP is associated with structural changes in and around the facet (zygapophyseal) joint. If conservative treatment strategies fail, symptoms and pain can effectively be reduced by denervation or rhizotomy of the medial branch of the dorsal ramus of the spinal nerve through radiofrequency ablation. In this technical description with video, we present an endoscopic technique for radiofrequency rhizotomy. This technique has the advantage of directly visualizing the facet joint as well as its surrounding structures including the medial branches.

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