دورية أكاديمية
Percutaneous Transforaminal Endoscopic Radiofrequency Ablation of the Sinuvertebral Nerve in an Olympian with a Left L5 Pedicle/Pars Interarticularis Fracture–Associated Left L5-S1 Disk Desiccation
| العنوان: | Percutaneous Transforaminal Endoscopic Radiofrequency Ablation of the Sinuvertebral Nerve in an Olympian with a Left L5 Pedicle/Pars Interarticularis Fracture–Associated Left L5-S1 Disk Desiccation |
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| المؤلفون: | Hyeun Sung Kim, Osama Nezar Kashlan, Ravindra Singh, Nitin Maruti Adsul, Zhang Yong, Sung Woon Oh, Jung Hoon Noh, Il Tae Jang, Seong Hoon Oh |
| المصدر: | World Neurosurgery: X, Vol 3, Iss , Pp - (2019) |
| بيانات النشر: | Elsevier, 2019. |
| سنة النشر: | 2019 |
| المجموعة: | LCC:Surgery LCC:Neurology. Diseases of the nervous system |
| مصطلحات موضوعية: | Surgery, RD1-811, Neurology. Diseases of the nervous system, RC346-429 |
| الوصف: | Background: Irritation of the sinuvertebral nerve by a posterior or posterolateral disk desiccation can cause somatic referred pain that can mimic a lumbar radiculopathy. We present a case of a patient presenting with this condition and the positive result in pain improvement after endoscopic radiofrequency ablation of the sinuvertebral nerve. Case Description: An 18-year-old Olympic runner presented to our clinic with back pain and left leg pain in a clear L5 distribution. He did not have a history of trauma. His imaging did not demonstrate any lesion causing compression of the left L5 nerve root as expected. He was found to have a left healing L5 pedicle fracture and ipsilateral chronic L5 pars interarticularis fracture. He was also found to have an ipsilateral minor left L5-S1 disk desiccation. His visual analog scale (VAS) score was 7. After a positive provocative diskogram, the patient underwent percutaneous transforaminal endoscopic radiofrequency ablation of the left L5 sinuvertebral nerve, which was irritated by the left L5-S1 disk desiccation. At his 6-month follow-up visit, the patient's VAS score was 1. Conclusions: It is important for clinicians to remember that back-associated leg pain can be caused by somatic referred pain because of irritation of the sinuvertebral nerve. Endoscopic radiofrequency of this nerve can be beneficial in pain control, but further randomized prospective trials are needed to study these techniques further. Key words: Back pain, Endoscopic spine surgery, Pars interarticularis fracture, Radiofrequency ablation, Sinuvertebral nerve |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2590-1397 |
| Relation: | http://www.sciencedirect.com/science/article/pii/S2590139719300638; https://doaj.org/toc/2590-1397 |
| DOI: | 10.1016/j.wnsx.2019.100032 |
| URL الوصول: | https://doaj.org/article/786fba86282b4d1d8da11d7de3acce77 |
| رقم الأكسشن: | edsdoj.786fba86282b4d1d8da11d7de3acce77 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 25901397 |
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| DOI: | 10.1016/j.wnsx.2019.100032 |