What is Endoscopic Facet Rhizotomy?

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The Endoscopic Facet Rhizotomy procedure is a true minimally invasive spine surgery used to deaden affected nerves causing chronic back and neck pain.
With the guidance of x-rays, our endoscopic rhizotomy is completed without damaging surrounding muscles or soft tissue like traditional spine surgery.
Advantages of endoscopic facet rhizotomy surgery include the following:
Minimally Invasive
Short recovery
High Success rate
Minimal or no blood loss
Preservation of spinal mobility
Small incision and minimal scar tissue formation
Same day surgery with no hospitalization (outpatient procedure)

Endoscopic facet rhizotomy procedure:
The patient is brought to the operating room and is administered a local anesthetic and intravenous sedation. The surgical targets are marked at the skin level under fluoroscopic guidance (x-rays), and a small cut (about 7 mm) is made on the skin. Then, a tube is inserted to the target. The endoscope is then placed through the tube, and the small nerve branches (medial branch) from the nerve root are identified.
A laser is then used to deaden the nerve branches, which only have a sensory function. Finally, the tube is removed, the incision is closed with a stitch or two, and the endoscopic facet rhizotomy is complete. Upon completion, the patient is encouraged to walk around and is free to leave the surgical center with a companion the same day. After a follow-up visit with the surgeon the next day, the patient can go home for a quick recovery.

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