Trans-facet-joint approach to pulsed radiofrequency ablation of the L5 dorsal root ganglion in a patient with degenerative spondylosis and scoliosis

Pain Pract. May-Jun 2008;8(3):202-5. doi: 10.1111/j.1533-2500.2008.00191.x.


Mechanical low back pain secondary to degenerative facet joint changes is a common reason for referral to pain clinics. When these changes cause encroachment into the intervertebral foramen, radicular pain may result. While pulsed radiofrequency of the dorsal root ganglion can be used in this setting, the anatomic deformity may make the transforaminal approach difficult. We report a case where a trans-facet approach was used successfully and describe the technique.

Publication types

  • Case Reports

MeSH terms

  • Analgesia / methods*
  • Analgesics / therapeutic use
  • Autonomic Nerve Block
  • Combined Modality Therapy
  • Electrocoagulation / methods*
  • Female
  • Ganglia, Spinal / surgery*
  • Humans
  • Low Back Pain / etiology*
  • Lumbar Vertebrae*
  • Middle Aged
  • Radiculopathy / drug therapy
  • Radiculopathy / surgery*
  • Radiofrequency Therapy*
  • Scoliosis / complications*
  • Spinal Osteophytosis / complications*
  • Spinal Stenosis / complications


  • Analgesics