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Basivertebral nerve ablation with concurrent lumbar laminotomy – Lumbar Fusion

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This article discusses a case of a man in his late 30s with chronic low back pain and lumbar radiculopathy, who was treated with a combination of basivertebral nerve ablation (BVNA) and lumbar laminotomy. The patient experienced progressive improvements in mobility and pain over the next 2 years. The study explores the potential of using this unique combination of surgical techniques as an alternative to traditional spinal fusion in specific patient populations with lumbar radiculopathy and Modic changes. The advantages of this technique compared to conventional surgical modalities are also discussed

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : innovative sugical centre in UK

Published article

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…

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BMJ Case Rep. 2024 Apr 4;17(4):e259695. doi: 10.1136/bcr-2024-259695. ABSTRACT 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),

BMJ Case Rep. 2024 Apr 4;17(4):e259695. doi: 10.1136/bcr-2024-259695.

ABSTRACT

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.

PMID:38575334 | DOI:10.1136/bcr-2024-259695

The London Spine Unit : innovative sugical centre in UK

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Basivertebral nerve ablation with concurrent lumbar laminotomy

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BMJ Case Rep. 2024 Apr 4;17(4):e259695. doi: 10.1136/bcr-2024-259695. ABSTRACT 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)

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