Endoscopically Visualized Rhizotomy for the Management of Chronic Facetogenic Low Back Pain

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This chapter provides a comprehensive overview of endoscopic lumbar facet rhizotomy, a minimally invasive surgical technique for managing chronic low back pain originating from the facet joints. The authors discuss the relevant anatomy of the lumbar facet joint complex, the pathophysiology of facet joint-related pain, the inclusion and exclusion criteria for the surgery, and explain the surgery's step-by-step choreography by highlighting the use of advanced imaging and endoscopic technology for precise targeting and ablation of the medial branch of the dorsal facet nerve. The authors review their clinical outcomes. Furthermore, the authors discuss the current evidence, research advancements, and future directions in the field. This book chapter is a valuable resource for surgeons, pain specialists, and healthcare professionals interested in understanding and implementing endoscopic lumbar facet rhizotomy as an effective and minimally invasive approach for managing facet joint-related low back pain.