Endoscopic joint capsule and articular process excision to treat lumbar facet joint syndrome:A case report

作     者：Hong-Jie Yuan Chun-Yan Wang Yu-Feng Wang 

作者机构：Department of Pain MedicineNantong Hospital of Traditional Chinese MedicineNantong 226001Jiangsu ProvinceChina Department of CardiovascularShanghai Public Health Clinical CenterShanghai 201508China Department of RadiologyJinshan BranchShanghai Sixth People’s HospitalShanghai 201599China 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2021年第9卷第28期

页      面：8545-8551页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Endoscopic Facet joint pain syndrome Joint capsule Radiofrequency Articular process Excision Case report 

摘      要：BACKGROUND Lumbar facet joint syndrome(LFJS)is a pain condition arising from lumbar facet joint *** of LFJS includes patient education,oral medication,bed rest,physical therapy,and procedural *** some refractory cases that fail conservative therapies,dorsal ramus medial brunch radiofrequency ablation is ***,as nerve fibers can regenerate,their efficacy is impermanent,and the recurrence rate is relatively *** synovial impingement is a paramount pathogenesis of LFJS,in this case,we removed the culprit hyperplastic articular capsule and the articular process partially through a spinal *** the culprit hyperplastic joint capsule was excised,it is supposed to generate more prolonged efficacy and a lower recurrence rate than radiofrequency *** SUMMARY A 40-year-old female patient was diagnosed with *** complained of low back pain and right buttock pain for half a *** patient was placed in the prone *** disinfection and draping,a 25-cm 18-gauge needle was inserted into the dorsal surface of the right L5 articular ***,a guidewire,dilating tubes,and a working cannula was inserted *** spinal endoscope was positioned in the working *** the endoscope,the microvascular tissue,muscle tissue attached on the L5 inferior articular process and S1 superior articular process,as well as the capsule and minor portion of the inferior articular process were *** the joint space was clear and no bleeding points existed,the endoscope and working cannula were shifted,and the incision was *** treatment,the symptoms were completely *** patient was pain-free during the follow-up period of 6 *** The endoscopic partial joint capsule and articular process excision is an effective procedure for LFJS,especially for cases caused by synovial impingement.