Interventional Pain Surgery

Author(s): Zhen-Zhou Li* and Shu-Xun Hou

DOI: 10.2174/9789815274523124030013

Full-Endoscopic Cervical Medial Branch Neurotomy

Pp: 170-186 (17)

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* (Excluding Mailing and Handling)

  • * (Excluding Mailing and Handling)

Abstract

SHS investigation development is considered from the geographical and historical viewpoint. 3 stages are described. Within Stage 1 the work was carried out in the Department of the Institute of Chemical Physics in Chernogolovka where the scientific discovery had been made. At Stage 2 the interest to SHS arose in different cities and towns of the former USSR. Within Stage 3 SHS entered the international scene. Now SHS processes and products are being studied in more than 50 countries.

Abstract

Full-endoscopic cervical medial branch neurotomy (FECMBN) is a minimally invasive procedure for chronic cervical facet joint pain. The procedure involves advanced endoscopic visualization and surgical instruments to achieve precise neurotomy of the medial branch innervating the cervical pain facet joint complex. In this chapter, the authors summarize the key features of the posterior full-endoscopic cervical medial branch neurotomy, including its advantages over traditional nonvisualized radiofrequency-based ablation procedures regarding the treatment effect's safety, efficacy, and durability. They employ illustrative step-by-step instructions that the novice endoscopic spine surgeon can employ to execute the posterior fullendoscopic cervical medial branch neurotomy safely and effectively.

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