Basivertebral Nerve Ablation for the Treatment of Vertebrogenic Pain
Ivan Urits, Nazir Noor, Arjun Singh Johal, Joseph Leider, Joseph C. Brinkman, Nathan Fackler, Neeraj Vij, Daniel An, Elyse M. Cornett, Alan D. Kaye, Omar Viswanath
Abstract
Chronic low back pain affects a significant portion of patients worldwide and is a major contributor to patient disability; however, it is a difficult problem to diagnose and treat. The prevailing model of chronic low back pain has presumed to follow a discogenic model, but recent studies have shown a vertebrogenic model that involves the basivertebral nerve (BVN). Radiofrequency ablation of the BVN has emerged as a possible nonsurgical therapy for vertebrogenic low back pain. The objective of this manuscript is to provide a comprehensive review of vertebrogenic pain diagnosis and our current understanding of BVN ablation as treatment.