By Stefano Marcia, Luca Saba
This booklet describes the foundations and purposes of radiofrequency remedies for numerous spinal symptoms, together with disc herniation, discogenic and radicular ache, side joint arthropathy, and benign and malignant lesions of the vertebral column. the purpose is to supply a convenient advisor that would acquaint readers with all features of radiofrequency neurotomy at varied degrees of the backbone, permitting them to hold out remedies successfully and appropriately.
Radiofrequency neurotomy, or radiofrequency ablation, is a minimally invasive strategy that's linked to a discount in issues, unwanted side effects, and hazards of anesthesia in addition to with decrease expenses. This e-book, written through world-renowned specialists within the box, fills an important hole within the literature through in particular concentrating on using radiofrequency for spinal stipulations. it will likely be of price to a variety of experts, together with interventional neuroradiologists and radiologists, neurosurgeons, and orthopedists.
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Extra resources for Radiofrequency Treatments on the Spine
B) Cannula placement as observed under fluoroscopy. (c, d) The cannula is advanced into the disk, and the SpineWand device is introduced into the nucleus pulposus via the cannula facilitate access to the cervical disks. For better visualization of the lower cervical disks, it is beneficial to stabilize the shoulders. In these cases, traction is achieved by tying a belt to the patient’s wrists, and the belt is fixed to the foot of the table and pulled if necessary during the procedure, to uncover the lower disks from the shoulders.
Anesth Analg 10(5):1440–53 30. Schwarzer AC, Aprill CN, Bogduk N (1995) The sacroiliac joint in chronic low back pain. Maigne JY, Aivaliklis A, Pfefer F (1996) Results of sacroiliac joint double block and value of sacroiliac pain provocation tests in 54 patients with low back pain. Bernard TN, Cassidy JD (1991) The sacroiliac syndrome. Pathophysiology, diagnosis and management. In: Frymoyer JW (ed) The adult spine: principles and practice. Raven, New York, pp 2107–2130 33. Laslett M (2008) Evidence-based diagnosis and treatment of the painful sacroiliac joint.
Seven patients (14 %) never showed improvement. One clinically relevant complication (infectious diskitis) occurred, which was successfully resolved. Three patients with clinical myelopathy experienced regression of cord compression symptoms; in two of these patients, magnetic resonance imaging showed morphological evidence of reduction of cord compression. Three randomized controlled trials are available in the literature. G. Bonaldi 34 a c b d Fig. 8 (a) Bilateral disk herniation at C6–C7 encroaching the spinal canal.