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Research ArticleTesting & Regulatory Affairs

International Society for the Advancement of Spine Surgery Guideline—Intraosseous Ablation of the Basivertebral Nerve for the Relief of Chronic Low Back Pain

MORGAN LORIO, OLIVIER CLERK-LAMALICE, DOUGLAS P. BEALL and TERRENCE JULIEN
International Journal of Spine Surgery February 2020, 14 (1) 18-25; DOI: https://doi.org/10.14444/7002
MORGAN LORIO
1Advanced Orthopedics, Altamonte Springs, Florida
MD, FACS
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OLIVIER CLERK-LAMALICE
2Beam Interventional & Diagnostic Imaging, Calgary, Canada
MD
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DOUGLAS P. BEALL
3Clinical Radiology of Oklahoma, Edmond, Oklahoma
MD
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TERRENCE JULIEN
4BayCare Medical Group, Tampa, Florida
MD, FACS
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    Figure 1

    Modic change 1 (MC1) and Modic change 2 (MC2) illustrated. (A) and (B) demonstrate decreased signal intensity on T1-wighted images and increased signal intensity on T2-weighted images, respectively (white arrows) corresponding to MC1. (C) and (D) correspond to MC2 with increased signal intensity on T1-weighted images and on T2-weighted images, respectively (white arrows).

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    Figure 2

    Bar graph demonstrating mean Oswestry Disability Index changes at 3 months both for the basivertebral nerve (BVN) ablation and the standard care groups. Statistically significant improvement of the patients' function is noted in the BVN group (P < .001).

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    Figure 3

    Bar graph demonstrating the mean difference in the visual analog scale at 3 months both for the basivertebral nerve (BVN) ablation and standard care groups. Statistically significant improvement in patients treated with BVN is noted (P < .001).

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    Figure 4

    Mean Oswestry Disability Index score in per-protocol treatment arm followed up to 24 months.

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    Figure 5

    Shows the 24 month Oswestry Disability Index and visual analog scale responder rate per-protocol arm at 24 months (N = 106).

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International Journal of Spine Surgery
Vol. 14, Issue 1
1 Feb 2020
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International Society for the Advancement of Spine Surgery Guideline—Intraosseous Ablation of the Basivertebral Nerve for the Relief of Chronic Low Back Pain
MORGAN LORIO, OLIVIER CLERK-LAMALICE, DOUGLAS P. BEALL, TERRENCE JULIEN
International Journal of Spine Surgery Feb 2020, 14 (1) 18-25; DOI: 10.14444/7002

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International Society for the Advancement of Spine Surgery Guideline—Intraosseous Ablation of the Basivertebral Nerve for the Relief of Chronic Low Back Pain
MORGAN LORIO, OLIVIER CLERK-LAMALICE, DOUGLAS P. BEALL, TERRENCE JULIEN
International Journal of Spine Surgery Feb 2020, 14 (1) 18-25; DOI: 10.14444/7002
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  • Article
    • RATIONALE
    • INTRODUCTION
    • PUBLISHED LITERATURE
    • INDICATIONS FOR SURGERY
    • CODING AND COVERAGE HISTORY
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  • Basivertebral nerve ablation meets neurointervention--deja vu?
  • Elective Spinal Transpedicular Ablation of the Basivertebral Nerve of the Vertebral Segment in Adult Spinal Deformity Patients
  • ISASS Policy Statement 2022: Literature Review of Intraosseous Basivertebral Nerve Ablation
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  • VIBe Scale: Validation of the Intraoperative Bleeding Severity Scale by Spine Surgeons
  • International Society for the Advancement of Spine Surgery Policy 2020 Update—Minimally Invasive Surgical Sacroiliac Joint Fusion (for Chronic Sacroiliac Joint Pain): Coverage Indications, Limitations, and Medical Necessity
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Keywords

  • intraosseous ablation
  • basivertebral nerve
  • chronic low back pain
  • vertebrogenic pain

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