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Full-Endoscopic Cervical Medial Branch Neurotomy

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Full-endoscopic cervical medial branch neurotomy (FECMBN) is a minimally invasive procedure for chronic cervical facet joint pain. The procedure involves advanced endoscopic visualization and surgical instruments to achieve precise neurotomy of the medial branch innervating the cervical pain facet joint complex. In this chapter, the authors summarize the key features of the posterior full-endoscopic cervical medial branch neurotomy, including its advantages over traditional nonvisualized radiofrequency-based ablation procedures regarding the treatment effect's safety, efficacy, and durability. They employ illustrative step-by-step instructions that the novice endoscopic spine surgeon can employ to execute the posterior fullendoscopic cervical medial branch neurotomy safely and effectively.

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