Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

623
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
623
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

410
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
410

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Mixed-Duration Basivertebral Nerve Ablation for Vertebrogenic Low Back Pain: Lesion Strategies and Clinical Outcomes in a Multicenter Retrospective Cohort Study.

Pain medicine (Malden, Mass.)·2026
Same author

Restorative Neurostimulation Therapy Compared to Optimal Medical Management: A Randomized Evaluation (RESTORE) for the Treatment of Chronic Mechanical Low Back Pain due to Multifidus Dysfunction.

Pain and therapy·2025
Same author

Social Media Behavior Guidelines for Healthcare Professionals: An American Society of Pain and Neuroscience NEURON Project.

Journal of pain research·2024
Same author

Cement extravasation resulting in L5 radiculopathy as a complication of percutaneous Sacroplasty: A case report.

Interventional pain medicine·2024
Same author

Fournier's Gangrene in an Elderly Male: A Case Report.

Cureus·2024
Same author

Precision Rehabilitation After Neurostimulation Implantation for Multifidus Dysfunction in Nociceptive Mechanical Chronic Low Back Pain.

Archives of rehabilitation research and clinical translation·2024

Related Experiment Video

Updated: Jun 29, 2025

Author Spotlight: Unveiling the Potential of TUBE Technique in Spinal Surgery
06:26

Author Spotlight: Unveiling the Potential of TUBE Technique in Spinal Surgery

Published on: November 17, 2023

1.3K

Basivertebral nerve ablation with concurrent lumbar laminotomy.

Jason L Marcus1,2, Benjamin D Westerhaus2, Brendan Chernicki1

  • 1Nova Southeastern University Dr Kiran C Patel College of Osteopathic Medicine, Clearwater, Florida, USA.

BMJ Case Reports
|April 4, 2024
PubMed
Summary

Basivertebral nerve ablation (BVNA) combined with lumbar laminotomy offers a novel surgical alternative for chronic low back pain and radiculopathy. This combined approach showed significant patient improvement, suggesting a potential alternative to spinal fusion.

Keywords:
Back painOrthopaedicsOsteoarthritisPainSurgery

More Related Videos

Laminotomy for Lumbar Dorsal Root Ganglion Access and Injection in Swine
09:00

Laminotomy for Lumbar Dorsal Root Ganglion Access and Injection in Swine

Published on: October 10, 2017

12.8K
Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis
05:17

Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis

Published on: February 9, 2024

584

Related Experiment Videos

Last Updated: Jun 29, 2025

Author Spotlight: Unveiling the Potential of TUBE Technique in Spinal Surgery
06:26

Author Spotlight: Unveiling the Potential of TUBE Technique in Spinal Surgery

Published on: November 17, 2023

1.3K
Laminotomy for Lumbar Dorsal Root Ganglion Access and Injection in Swine
09:00

Laminotomy for Lumbar Dorsal Root Ganglion Access and Injection in Swine

Published on: October 10, 2017

12.8K
Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis
05:17

Author Spotlight: Scope of LE-ULBD as a Safe, Effective, and Minimally Invasive Approach to Treat Lumbar Spinal Stenosis

Published on: February 9, 2024

584

Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Pain Management

Background:

  • Lumbar radiculopathy and vertebrogenic low back pain often coexist, stemming from facet hypertrophy or disc herniation.
  • Magnetic Resonance Imaging (MRI) can reveal foraminal stenosis and Modic changes associated with these conditions.
  • Traditional surgical interventions like spinal fusion carry risks and may not be suitable for all patients.

Observation:

  • A novel surgical approach combining basivertebral nerve ablation (BVNA) with lumbar laminotomy was explored.
  • This combined technique has not been previously documented in medical literature.
  • A case study involved a male patient in his late 30s with chronic low back pain and lumbar radiculopathy.

Findings:

  • The patient underwent BVNA and concurrent lumbar laminotomy.
  • Over a 2-year follow-up, the patient experienced progressive improvements in pain and mobility.
  • This suggests the combined technique's efficacy in managing complex lumbar conditions.

Implications:

  • BVNA and lumbar laminotomy present a potential alternative to conventional spinal fusion for specific patient groups.
  • This approach may offer advantages for patients with lumbar radiculopathy and Modic changes.
  • Further research is warranted to validate this combined surgical strategy.