Huang Junjian, Delijani Kevin, Jones Jesse, Di Capua John, El Khudari Husamuddin, Gunn Andrew J, Hirsch Joshua
Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama.
Georgetown Medical School, Washington, District of Columbia.
Semin Intervent Radiol. 2022 Jun 30;39(2):162-166. doi: 10.1055/s-0042-1745794. eCollection 2022 Apr.
Low back pain is one of the most prevalent musculoskeletal ailments in the United States. Intraosseous radiofrequency ablation of the basivertebral nerve is an effective and durable therapy for low back pain and can be offered to patients who have chronic low back pain of greater than 6 months of duration, failure to respond to noninvasive therapies for 6 months, with either Modic Type I or Type II changes at L3-S1. This article reviews the anatomy and physiology, patient selection, technique, and evidence regarding basivertebral nerve ablation.
下腰痛是美国最常见的肌肉骨骼疾病之一。椎骨基底神经的骨内射频消融术是一种治疗下腰痛的有效且持久的疗法,可用于患有持续时间超过6个月的慢性下腰痛、对非侵入性疗法6个月无反应、L3 - S1存在Modic I型或II型改变的患者。本文综述了关于椎骨基底神经消融术的解剖学和生理学、患者选择、技术及证据。