[Interventions on facet joints. Techniques of facet joint injection, medial branch block and radiofrequency ablation].
Fluoroscopy-guided interventions on facet joints have been used for decades for the symptomatic management of pain in spinal disorders. A large number of imaging techniques are used to achieve a precise and safe needle placement in interventional procedures. Pulsed fluoroscopy is one of the most widely used and well-accepted tools for these procedures. This article presents a technical overview of commonly used fluoroscopy-guided interventions on the facet joints of the cervical and lumbar spine, such as facet joint injection, blockade of the medial nerve branches and radiofrequency ablation.
Schmerztherapie, Orthopädische Universitätsklinik Ulm am RKU, Oberer Eselsberg 45, 89081, Ulm, Deutschland. j.artner@gmail.com.
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Artner
Nova Clinic, Biberach, Deutschland.|Neurochirurgische Universitätsklinik Ulm, Ulm, Deutschland.
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Klessinger
D000779:Anesthetics, Local / Q000008:administration & dosage*; D001416:Back Pain / Q000517:prevention & control*; D017115:Catheter Ablation / Q000379:methods*; D019317:Evidence-Based Medicine; D006801:Humans; D009407:Nerve Block / Q000379:methods*; D015641:Radiography, Interventional / Q000379:methods; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome; D021801:Zygapophyseal Joint / Q000187:drug effects / Q000601:surgery*
D000779:Anesthetics, Local
Block; Injection; Medial branch block; Radiofrequency ablation; Ramus medialis