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Interventionen an Facettengelenken

Techniken der Facettengelenkinjektion, der Blockade des Ramus medianus und der Radiofrequenzablation

Interventions on facet joints

Techniques of facet joint injection, medial branch block and radiofrequency ablation

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Zusammenfassung

Fluoroskopisch gesteuerte Interventionen an Facettengelenken werden seit Jahren bei der symptomatischen Behandlung von Wirbelsäulenerkrankungen angewendet. Hierbei haben sich zahlreiche bildgebende Verfahren für eine sichere und präzise Navigation etabliert. Die gepulste Fluoroskopie gehört hier zu den meist angewendeten Verfahren. Der folgende Artikel bietet eine technische Übersicht der gängigen fluoroskopisch navigierten Interventionen an den Facettengelenken der Hals- und Lendenwirbelsäule: die Facettengelenkinjektionen, Blockaden des Ramus medialis und der Radiofrequenzablation.

Abstract

Fluoroscopy-guided interventions on facet joints have been used for decades for the symptomatic management of pain in spinal disorders. A large number of imaging techniques are used to achieve a precise and safe needle placement in interventional procedures. Pulsed fluoroscopy is one of the most widely used and well-accepted tools for these procedures. This article presents a technical overview of commonly used fluoroscopy-guided interventions on the facet joints of the cervical and lumbar spine, such as facet joint injection, blockade of the medial nerve branches and radiofrequency ablation.

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Authors and Affiliations

  1. Schmerztherapie, Orthopädische Universitätsklinik Ulm am RKU, Oberer Eselsberg 45, 89081, Ulm, Deutschland

    J. Artner

  2. Nova Clinic, Biberach, Deutschland

    S. Klessinger

  3. Neurochirurgische Universitätsklinik Ulm, Ulm, Deutschland

    S. Klessinger

Authors
  1. J. Artner
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  2. S. Klessinger
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Correspondence to J. Artner.

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Interessenkonflikt

J. Artner und S. Klessinger geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Artner, J., Klessinger, S. Interventionen an Facettengelenken. Radiologe 55, 840–846 (2015). https://doi.org/10.1007/s00117-015-0006-5

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  • DOI: https://doi.org/10.1007/s00117-015-0006-5

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