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

World Journal of Clinical Cases 2021年第28期9卷 8545-8551页

作者： Hong-Jie Yuan Chun-Yan Wang Yu-Feng Wang Department of pain Medicine Nantong Hospital of Traditional Chinese MedicineNantong 226001Jiangsu ProvinceChina Department of Cardiovascular Shanghai Public Health Clinical CenterShanghai 201508China Department of Radiology Jinshan BranchShanghai Sixth People’s HospitalShanghai 201599China

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.

关键词： Endoscopic facet joint pain syndrome joint capsule Radiofrequency Articular process Excision Case report

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