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Surgery
Basivertebral nerve ablation with concurrent lumbar laminotomy
  1. Jason L Marcus1,2,
  2. Benjamin D Westerhaus2,
  3. Brendan Chernicki1 and
  4. Anthony Giuffrida2
  1. 1Nova Southeastern University Dr Kiran C Patel College of Osteopathic Medicine, Clearwater, Florida, USA
  2. 2Cantor Spince Center, Interventional Spine, Paley Orthopedic & Spine Institute, Fort Lauderdale, Florida, USA
  1. Correspondence to Dr Anthony Giuffrida; anthony.giuffrida16{at}gmail.com

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.

  • Surgery
  • Osteoarthritis
  • Orthopaedics
  • Back pain
  • Pain

https://doi.org/10.1136/bcr-2024-259695

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: JLM, BDW, BC and AG. The following authors gave final approval of the manuscript: JLM, BDW, BC and AG.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests AG, MD, is a consultant for Relievant Medsystems.

    • Provenance and peer review Not commissioned; externally peer reviewed.