Sacroiliac Joint Ablation Using MR-HIFU.

Abstract:

:The sacroiliac joint is the culprit in 15-30% of patients with chronic lumbar back pain. Ablation of the posterior sensory nerves supplying the joint is an established treatment option before arthrodesis. We report the successful application of MR-HIFU in a patient with therapy-refractory pain using the Sonalleve MR-HIFU system. The outpatient procedure was performed under spinal anaesthesia and analgosedation. The ramus dorsalis of L5 as well as the lateral branches of the ramus dorsalis S1-S3 was targeted, and tissue peak temperature per sonication was controlled using MR-thermometry. There were no post-interventional complications. Clinical improvement began 4 days post-intervention with complete resolution of the pain after 1 month.

authors

Najafi A,Sartoretti E,Binkert CA

doi

10.1007/s00270-019-02263-0

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

1363-1365

issue

9

eissn

0174-1551

issn

1432-086X

pii

10.1007/s00270-019-02263-0

journal_volume

42

pub_type

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