How I do it? Full endoscopic lumbar rhizotomy for chronic facet joint pain due to failed back surgery syndrome

• Published in: Acta neurochirurgica Vol. 164; no. 5; pp. 1233 - 1237
• Main Authors: Huang, Sheng-Jia, Hsiao, Mei-Cheng, Lee, Jae Hwan, Chen, Chien-Min
• Format: Journal Article
• Language: English
• Published: Vienna Springer Vienna 01.05.2022; Springer Nature B.V
• Subjects: Arthralgia - surgery; Back surgery; Bone Diseases - surgery; Dogs; Endoscopy; Failed Back Surgery Syndrome - surgery; How I Do it - Spine - Other; Humans; Interventional Radiology; Low Back Pain - surgery; Lumbar Vertebrae - surgery; Medicine; Medicine & Public Health; Minimally Invasive Surgery; Neurology; Neuroradiology; Neurosurgery; Pain; Patients; Rhizotomy - methods; Spine - Other; Surgery; Surgical Orthopedics; Zygapophyseal Joint - diagnostic imaging; Zygapophyseal Joint - surgery; Endoscopic lumbar rhizotomy; Failed back surgery syndrome; Facet joint pain; 3D navigation
• ISSN: 0942-0940; 0001-6268; 0942-0940
• DOI: 10.1007/s00701-021-05042-4

Background Failed back surgery syndrome (FBSS) is a general term for persistent postoperative back pain with or without accompanying radicular pain. FBSS may present as chronic facet joint pain. Methods We introduced full endoscopic lumbar rhizotomy for patients suffering from facet joint pain due to FBSS. Facet joint block was introduced into the facet joint to determine whether pain improved after the injection. Conclusion With full endoscopic lumbar rhizotomy, the surgeon can identify the regions involved more clearly and directly. Although it is an invasive procedure, it provides a more effective and safe treatment for patients with FBSS-related facet joint pain.