FACTFINDERS for PATIENT SAFETY: Minimizing complications in radiofrequency neurotomy: Part I-Implantable devices; Part II-Preprocedural BVNRFN imaging

患者安全调查:最大限度减少射频神经切断术并发症:第一部分——植入式装置;第二部分——术前BVNRFN成像

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Abstract

This series of FactFinders presents a brief summary of the evidence and outlines recommendations regarding minimizing risks with radiofrequency neurotomy procedures. The evidence in support of the following facts is presented: (1) While data on the safety of radiofrequency neurotomy in patients with implanted devices are limited, the procedure can likely be performed safely with careful adherence to best practices and manufacturer recommendations. (2) Basivertebral nerve radiofrequency neurotomy can be performed safely and effectively at the L3 through S1 vertebral levels. Scrutiny of preprocedural imaging may minimize risk. Although the transpedicular approach is preferred, patient anatomy may dictate a non-transpedicular trajectory.

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