フェノールグリセリンを用いた神経根後枝内側枝に対する経皮的除神経術の経験

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タイトル別名
  • Percutaneous Rhizotomy of the Posterior Medial Branch Using Phenol Glycerin for Lumbar Joint Pain.

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説明

We studied five patients with chronic back or chronic back and leg pain, who had failed to respond to the usual forms of conservative managiment. Subjects included 3 males and 2 females with a mean age of 65.8 years (range: 53 to 78). We used Roy's technique for percutaneous rhizotomy of the posterior medial branch. To be considered a sultable candidate for facet denervation, the diagnostic test which involues facet nerve block with 0.5% Marcaine must be successful twice.<br>The blocks are performed in a fluoroscopy room with the patient prone, using AP and oblique fluoroscopy. The needle is inserted lateral to the inferior third of the facet joint and 0.5ml of 3.3% phenol glycerin is injected at each level. Relief of pain was achieved in all patients and no complications were noted.

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