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KEY FACTS
Terminology
Preprocedure
Procedure
TERMINOLOGY
Abbreviations
- Radiofrequency ablation (RFA)
Synonyms
- RFA
- Radiofrequency lesioning
- Radiofrequency denervation
- Radiofrequency neurotomy
- Radiofrequency thermocoagulation
- Radiofrequency rhizotomy
- Facet joints
- Zygapophyseal joints
- Z-joints
- Apophyseal joints
- RFA
Definitions
- RFA: Use of radiofrequency energy to disrupt function of medial branch nerve to stop transmission of pain signal from injured facet joint
- Facet joints: Paired structures at back of each vertebra that form working motion unit to allow movement between 2 vertebrae
PREPROCEDURE
Indications
Contraindications
Getting Started
PROCEDURE
Procedure Steps
POST PROCEDURE
Expected Outcome
Things To Do
Things To Avoid
OUTCOMES
Complications
Selected References
- McCormick ZL et al: Randomized prospective trial of cooled versus traditional radiofrequency ablation of the medial branch nerves for the treatment of lumbar facet joint pain. Reg Anesth Pain Med. 44(3):389-97, 2019
- Wray JK et al: Radiofrequency ablation 2019
- Arias Garau J: Radiofrequency denervation of the cervical and lumbar spine. Phys Med Rehabil Clin N Am. 29(1):139-54, 2018
- Jacobson RE et al: Bipolar radiofrequency facet ablation of the lumbar facet capsule: an adjunct to conventional radiofrequency ablation for pain management. Cureus. 9(9):e1635, 2017
- Vanneste T et al: Pulsed radiofrequency in chronic pain. Curr Opin Anaesthesiol. 30(5):577-82, 2017
- Amrhein TJ et al: Technique for CT fluoroscopy-guided lumbar medial branch blocks and radiofrequency ablation. AJR Am J Roentgenol. 207(3):631-4, 2016
- Leon JF et al: Radiofrequency neurolysis for lumbar pain using a variation of the original technique. Pain Physician. 19(3):155-61, 2016
- Loh JT et al: Efficacy of needle-placement technique in radiofrequency ablation for treatment of lumbar facet arthropathy. J Pain Res. 8:687-94, 2015
- Mukai A et al: Interventional procedures for cervical pain. Phys Med Rehabil Clin N Am. 22(3):539-49, x, 2011
- van Kleef M et al: Randomized trial of radiofrequency lumbar facet denervation for chronic low back pain. Spine (Phila Pa 1976). 24(18):1937-42, 1999
- LaBarge, et al. Specialty Imaging: Pain Management: Essentials of Image-Guided Procedures. Philadelphia: Amirsys, 2011
- Bogduk N: Complications of spinal diagnostic and treatment procedures. Pain Med. 9: pp. S12-31, 2008
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Preprocedure
Procedure
TERMINOLOGY
Abbreviations
- Radiofrequency ablation (RFA)
Synonyms
- RFA
- Radiofrequency lesioning
- Radiofrequency denervation
- Radiofrequency neurotomy
- Radiofrequency thermocoagulation
- Radiofrequency rhizotomy
- Facet joints
- Zygapophyseal joints
- Z-joints
- Apophyseal joints
- RFA
Definitions
- RFA: Use of radiofrequency energy to disrupt function of medial branch nerve to stop transmission of pain signal from injured facet joint
- Facet joints: Paired structures at back of each vertebra that form working motion unit to allow movement between 2 vertebrae
PREPROCEDURE
Indications
Contraindications
Getting Started
PROCEDURE
Procedure Steps
POST PROCEDURE
Expected Outcome
Things To Do
Things To Avoid
OUTCOMES
Complications
Selected References
- McCormick ZL et al: Randomized prospective trial of cooled versus traditional radiofrequency ablation of the medial branch nerves for the treatment of lumbar facet joint pain. Reg Anesth Pain Med. 44(3):389-97, 2019
- Wray JK et al: Radiofrequency ablation 2019
- Arias Garau J: Radiofrequency denervation of the cervical and lumbar spine. Phys Med Rehabil Clin N Am. 29(1):139-54, 2018
- Jacobson RE et al: Bipolar radiofrequency facet ablation of the lumbar facet capsule: an adjunct to conventional radiofrequency ablation for pain management. Cureus. 9(9):e1635, 2017
- Vanneste T et al: Pulsed radiofrequency in chronic pain. Curr Opin Anaesthesiol. 30(5):577-82, 2017
- Amrhein TJ et al: Technique for CT fluoroscopy-guided lumbar medial branch blocks and radiofrequency ablation. AJR Am J Roentgenol. 207(3):631-4, 2016
- Leon JF et al: Radiofrequency neurolysis for lumbar pain using a variation of the original technique. Pain Physician. 19(3):155-61, 2016
- Loh JT et al: Efficacy of needle-placement technique in radiofrequency ablation for treatment of lumbar facet arthropathy. J Pain Res. 8:687-94, 2015
- Mukai A et al: Interventional procedures for cervical pain. Phys Med Rehabil Clin N Am. 22(3):539-49, x, 2011
- van Kleef M et al: Randomized trial of radiofrequency lumbar facet denervation for chronic low back pain. Spine (Phila Pa 1976). 24(18):1937-42, 1999
- LaBarge, et al. Specialty Imaging: Pain Management: Essentials of Image-Guided Procedures. Philadelphia: Amirsys, 2011
- Bogduk N: Complications of spinal diagnostic and treatment procedures. Pain Med. 9: pp. S12-31, 2008
