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Lumbale Facettengelenkinjektion und Radiofrequenzdenervation

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Minimalinvasive Wirbelsäulenintervention

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Zusammenfassung

Die Bedeutung der lumbalen Facettengelenke als Schmerzgenerator wurde bereits Anfang des letzten Jahrhunderts gesehen. Erst in den 1980er- bis 1990er-Jahren jedoch zeigte sich die Wertigkeit der Injektionen am medialen Ast der lumbalen Spinalnerven, die die entsprechenden Gelenke versorgen. Dies hat zu einem weitgehend standardisierten Verfahren der Technik der Gelenksinjektion am medialen Ast als auch der Radiofrequenzdenervation geführt. In diesem Kapitel werden die anatomischen Besonderheiten und die Techniken der Injektion am medialen Ast dargestellt sowie Zugangswege für die Radiofrequenzdenervation aufgezeigt. Auf die Bedeutung der immer besseren Evidenzlage bezüglich internationaler und nationaler Leitlinien wird eingegangen.

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Authors and Affiliations

  1. Medizinisches Zentrum alphaMED, Bamberg, Deutschland

    M. Schneider

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  1. M. Schneider
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Correspondence to M. Schneider .

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  1. Orthopädie, Unfallchirurgie und Sportmedizin, Johanna-Etienne-Hospital Klinik für Orthopädie, Unfallchirurgie und Sportmedizin, Neuss, Germany

    Jörg Jerosch

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Schneider, M. (2019). Lumbale Facettengelenkinjektion und Radiofrequenzdenervation. In: Jerosch, J. (eds) Minimalinvasive Wirbelsäulenintervention. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58094-3_7

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  • DOI: https://doi.org/10.1007/978-3-662-58094-3_7

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-58093-6

  • Online ISBN: 978-3-662-58094-3

  • eBook Packages: Medicine (German Language)

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