Nova Southeastern University Dr Kiran C Patel College of Osteopathic Medicine, Clearwater, Florida, USA.
Cantor Spince Center, Interventional Spine, Paley Orthopedic & Spine Institute, Fort Lauderdale, Florida, USA.
BMJ Case Rep. 2024 Apr 4;17(4):e259695. doi: 10.1136/bcr-2024-259695.
Lumbar radiculopathy due to impingement of nerve roots from facet hypertrophy and/or disc herniation can often coincide with vertebrogenic low back pain. This is demonstrated on MRI with foraminal stenosis and Modic changes. We examine the potential of using a combination of basivertebral nerve ablation (BVNA) and lumbar laminotomy as an alternative to traditional spinal fusion in specific patient populations. This unique combination of surgical techniques has not been previously reported in the medical literature. We report a man in his late 30s with chronic low back pain and lumbar radiculopathy, treated with BVNA and concurrent laminotomy. The patient reported progressive improvements in his mobility and pain over the next 2 years. We discuss the advantages of using this technique for lumbar radiculopathy and Modic changes compared with conventional surgical modalities.
神经根受压导致的腰椎神经根病，源于小关节肥大和/或椎间盘突出，常与椎源性腰痛同时发生。MRI 显示椎间孔狭窄和 Modic 改变。我们研究了在特定患者人群中，使用基底神经节神经消融（BVNA）和腰椎板切开术联合治疗的可能性，以此替代传统的脊柱融合术。这种独特的手术技术组合以前并未在医学文献中报道过。我们报告了一位 30 多岁的男性患者，患有慢性腰痛和腰椎神经根病，接受了 BVNA 和同期的椎板切开术治疗。患者报告说，在接下来的 2 年中，他的活动能力和疼痛逐渐改善。我们讨论了与传统手术方法相比，该技术在治疗腰椎神经根病和 Modic 改变方面的优势。
