Novel Technologies in Interventional Pain Management - 06/05/22

Doi : 10.1016/j.pmr.2022.01.006

Yashar Eshraghi, MD ^a,^b,^c, Jay D. Shah, MD ^a,^⁎ , Maged Guirguis, MD ^a,^b,^c
^a Department of Anesthesiology & Interventional Pain Management, Ochsner Health System, 2820 Napoleon Avenue, Ste. 900, New Orleans, LA 70115, USA
^b University of Queensland - Ochsner Clinical School, Australia
^c Louisiana State University School of Medicine, School of Medicine, New Orleans, LA 70112, USA

^∗215 Postoffice Street, Apartment 1004, Galveston, TX 77550, USA215 Postoffice StreetApartment 1004GalvestonTX77550USA

Résumé

This article comprehensively covers 3 major novel technologies and techniques in the management of chronic lower back pain. The first 2 procedures, percutaneous interspinous spacer implantation, and minimally invasive lumbar decompression have shown significant impact in the management of lumbar spinal stenosis (LSS), especially in patients who are not great surgical candidates or are otherwise not amenable to open spinal surgery. The wealth of data for these procedures continues to increase, with up to 4 to 6-year follow-up data recently being made available. A novel solution for vertebrogenic back pain is also discussed as follow-up data emphasizes the safety and sustainability of the procedure. This article also establishes a framework for evaluating novel technologies in interventional pain management.

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Keywords : Basivertebral nerve ablation, Percutaneous lumbar decompression, Ligamentum flavum dissection, Superion, Intracept, mild (minimally invasive lumbar decompression), Emerging technologies, Lumbar spinal stenosis