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Cervical Percutaneous Facet (Zygapophyseal Joint = ZA Joint) Denervation

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Regional Nerve Blocks in Anesthesia and Pain Therapy

Abstract

Zygapophyseal or facet joints are formed by the inferior and superior processes of two adjacent joints. These joints limit excessive mobility and distribute the axial loading over a broad area. The facet joints located at the dorsal side of the spine together with the intervertebral disc at the ventral side form the three moving parts of the motion segment. Compared to the lumbar facet joints, the cervical facet joints are relatively big joints. The facet joints are innervated by the medial branch of the dorsal ramus of the spinal nerve.

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References

  1. Raj P, Lou L, Erdine S, Staats PS. Radiographic imaging for regional anesthesia and pain management. Philadelphia: Churchil Livingstone; 2003.

    Google Scholar 

  2. Shealy CN. Technique for percutaneous facet rhizotomy. Burlington: Radionics Corp; 1975.

    Google Scholar 

  3. Lord SM, Barnsley L, Wallis BJ, McDonald GJ, Bogduk N. Percutaneous radio-frequency neurotomy for chronic cervical zygapophyseal-joint pain. N Engl J Med. 1996;335(23):1721–6.

    Article  CAS  PubMed  Google Scholar 

  4. van Suijlekom JA, van Kleef M, Barendse G, Sluijter ME, Sjaastad O, Weber WEJ. Radiofrequency cervical zygapophyseal joint neurotomy for cervicogenic headache. A prospective study in 15 patients. Funct Neurol. 1998;13:297–303.

    PubMed  Google Scholar 

  5. Geurts J, van Wijk RM, Stolker R, Groen GJ. Efficacy of radiofrequency procedures for the treatment of spinal pain: a systematic review of randomized clinical trials. Reg Anesth Pain Med. 2001;26:394–400.

    CAS  PubMed  Google Scholar 

  6. Niemisto L, Kalso E, Malmivaara A, Seitsalo S, Hurri H. Radiofrequency denervation for neck and back pain: a systematic review within the framework of the cochrane collaboration back review group. Spine. 2003;28(16):1877–88.

    Article  PubMed  Google Scholar 

  7. Sluijter ME. Radiofrequency. Part 2. Meggen: Flivopress, SA; 2003.

    Google Scholar 

  8. van Kleef M, van Suijlekom JA. Treatment of chronic cervical pain, brachialgia, and cervicogenic headache by means of radiofrequency procedures. Pain Pract. 2002;2(3):214–23.

    Article  PubMed  Google Scholar 

  9. Mikeladze G, Espinal R, Finnegan R, Routon J, Martin D. Pulsed radiofrequency application in treatment of chronic zygapophyseal joint pain. Spine J. 2003;3(5):360–2.

    Article  PubMed  Google Scholar 

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Correspondence to Olav Rohof MD, PhD, FIPP .

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Rohof, O., Stolker, R.J. (2015). Cervical Percutaneous Facet (Zygapophyseal Joint = ZA Joint) Denervation. In: Regional Nerve Blocks in Anesthesia and Pain Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-05131-4_19

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  • DOI: https://doi.org/10.1007/978-3-319-05131-4_19

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-05130-7

  • Online ISBN: 978-3-319-05131-4

  • eBook Packages: MedicineMedicine (R0)

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