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RFA Facet Joint
Daewoong Lee, MD
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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
        • 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

                        1. 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
                        2. Wray JK et al: Radiofrequency ablation 2019
                        3. Arias Garau J: Radiofrequency denervation of the cervical and lumbar spine. Phys Med Rehabil Clin N Am. 29(1):139-54, 2018
                        4. 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
                        5. Vanneste T et al: Pulsed radiofrequency in chronic pain. Curr Opin Anaesthesiol. 30(5):577-82, 2017
                        6. 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
                        7. Leon JF et al: Radiofrequency neurolysis for lumbar pain using a variation of the original technique. Pain Physician. 19(3):155-61, 2016
                        8. 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
                        9. Mukai A et al: Interventional procedures for cervical pain. Phys Med Rehabil Clin N Am. 22(3):539-49, x, 2011
                        10. 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
                        11. LaBarge, et al. Specialty Imaging: Pain Management: Essentials of Image-Guided Procedures. Philadelphia: Amirsys, 2011
                        12. Bogduk N: Complications of spinal diagnostic and treatment procedures. Pain Med. 9: pp. S12-31, 2008
                        Related Anatomy
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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
                              • 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

                                              1. 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
                                              2. Wray JK et al: Radiofrequency ablation 2019
                                              3. Arias Garau J: Radiofrequency denervation of the cervical and lumbar spine. Phys Med Rehabil Clin N Am. 29(1):139-54, 2018
                                              4. 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
                                              5. Vanneste T et al: Pulsed radiofrequency in chronic pain. Curr Opin Anaesthesiol. 30(5):577-82, 2017
                                              6. 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
                                              7. Leon JF et al: Radiofrequency neurolysis for lumbar pain using a variation of the original technique. Pain Physician. 19(3):155-61, 2016
                                              8. 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
                                              9. Mukai A et al: Interventional procedures for cervical pain. Phys Med Rehabil Clin N Am. 22(3):539-49, x, 2011
                                              10. 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
                                              11. LaBarge, et al. Specialty Imaging: Pain Management: Essentials of Image-Guided Procedures. Philadelphia: Amirsys, 2011
                                              12. Bogduk N: Complications of spinal diagnostic and treatment procedures. Pain Med. 9: pp. S12-31, 2008