[Progress of intraosseous basivertebral nerve ablation for symptomatic Modic alterations]

Area of Science:

• Orthopedics
• Pain Management
• Neurosurgery

Background:

• Chronic lumbar and back pain due to degenerative vertebral endplates is a significant clinical challenge.
• Existing treatments may not fully address the underlying nerve-related pain.
• Minimally invasive techniques are sought for better patient outcomes.

Purpose of the Study:

• To comprehensively analyze current research on radiofrequency ablation of the vertebral basal nerve.
• To provide a reference for future clinical studies on this treatment modality.
• To evaluate the efficacy and safety of radiofrequency ablation for degenerative discogenic pain.

Main Methods:

• Review of existing literature on radiofrequency ablation of the vertebral basal nerve.
• Analysis of the procedure's operation principle and methodology.
• Examination of reported clinical efficacy and complication data.

Main Results:

• Radiofrequency ablation denatures the vertebral basal nerve, interrupting nociceptive signal transmission.
• This interruption alleviates low back pain originating from degenerative vertebral endplates.
• Foreign literature extensively reports on the procedure's effectiveness and safety profile.

Conclusions:

• Radiofrequency ablation of the vertebral basal nerve is a promising minimally invasive treatment for specific types of chronic low back pain.
• Further clinical research is warranted to solidify its role in spinal treatment algorithms.
• This review serves as a foundation for subsequent investigations into radiofrequency ablation efficacy and patient selection.