Cooled Radiofrequency Ablation of Cervical Medial Branches for Treatment of Facetogenic Pain

In cervical spine, the anatomical course of medial branch in significantly different and thermal radiofrequency ablation (RFA) of the cervical median branch though proven effective is technically challenging. Cooled RFA (CRFA) is a newer revolutionary technique that creates a larger spherical lesion...

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Bibliographic Details
Published inIndian Journal of Pain Vol. 36; no. 1; pp. 49 - 52
Main Authors Dinesh, Nithya, Gupta, Rajat, Lall, Deep, Jain, Ashu
Format Journal Article
LanguageEnglish
Published Medknow Publications and Media Pvt. Ltd 01.01.2022
Wolters Kluwer Medknow Publications
Subjects
Ablation (Surgery)
Bupivacaine
Care and treatment
cervical facetogenic pain
cooled radiofrequency ablation
Evidence-based medicine
Pain
Pantoprazole
radiofrequency ablation
thermal radiofrequency ablation
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Summary:In cervical spine, the anatomical course of medial branch in significantly different and thermal radiofrequency ablation (RFA) of the cervical median branch though proven effective is technically challenging. Cooled RFA (CRFA) is a newer revolutionary technique that creates a larger spherical lesion and thus compensates for the anatomical variability of the medial branches in the cervical spine. Our case report is aimed to discuss the technique of CRFA for the treatment of cervical facetogenic pain. Right C2–C5 medial branch CRFA was done under fluoroscopic guidance under monitored anesthesia care using 17G with 75 mm length and 2 mm active tip cooled radiofrequency cannula. After 8 weeks of follow-up, the patient reported 80% pain relief.
ISSN:0970-5333
DOI:10.4103/ijpn.ijpn_87_21