What Conditions Can Endoscopic Facet Rhizotomy Treat?
Chronic low back pain
Facet joint arthritis
Facet joint injuries
Failed back surgery syndrome
What are the advantages of an Endoscopic Facet Rhizotomy?
Advantages of endoscopic facet rhizotomy surgery include the following:
High Success rate
Minimal or no blood loss
Preservation of spinal mobility
Small incision and minimal scar tissue formation
Same day surgery with no hospitalization (outpatient procedure)
How Is an Endoscopic Facet Rhizotomy Done?
The patient is brought to the operating room and is administered with a local anesthetic and intravenous sedation. The surgical targets are marked at the skin level under fluoroscopic guidance (x-rays), and a small cut (about 7 mm) is made on the skin. Then, a tube is inserted to the target. The endoscope is then placed through the tube and the small nerve branches (medial branch) from the nerve root are identified.
A laser is then used to deaden the nerve branches, which only have a sensory function. Finally, the tube is removed, the incision is closed with a stitch or two, and the endoscopic facet rhizotomy is complete. Upon completion, the patient is encouraged to walk around and is free to leave the surgical center, with a companion, the same day. After a follow-up visit with the surgeon the next day, the patient can go home for a quick recovery.
The Endoscopic Facet Rhizotomy procedure is a true minimally invasive spine surgery used to deaden affected nerves causing chronic back and neck pain.