Abstract
With increasing age and a reduction in the height of the intervertebral discs, the load on the facet joints increases, which can lead to painful changes. Like every joint in the human body, the facet joint also has a joint capsule which, in addition to guiding the joint, also ensures that the joint is supplied by vessels and nerves. A nearby nerve, the ramus dorsalis medialis, is responsible for transmitting pain impulses from the joint and joint capsule. If irritation of the joint capsule occurs, the pain is transmitted via this branch as back pain to the pain centers in the spinal cord and brain and is then referred to as a “facet syndrome”. In addition to degenerative changes with age, the following factors can also be causes of painful facet joints: Accident with whiplash, overload and incorrect load due to e.g. sports or heavy physical work, overweight in combination with incorrect posture, general lack of movement. Minimally invasive facet denervation in the form of cryodenervation and thermocoagulation has been an effective and safe method of treating so-called facet syndrome for many years. As a unique feature in the treatment of facet joint syndrome, endoscopic facet denervation is a visually controlled proce dure.
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Ostermann, G., Igressa, A. (2023). Endoscopic Facet Denervation. In: Jerosch, J. (eds) Minimally Invasive Spine Intervention. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-63814-9_13
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DOI: https://doi.org/10.1007/978-3-662-63814-9_13
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