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Open Access 01-12-2022 | Spina Bifida Occulta | Case report

Successful annuloplasty using the cone-beam computed tomography-assisted radiofrequency thermocoagulation system in a patient with severe vertebral deformity: a case report

Authors: Shintaro Hagihara, Masayuki Nakagawa, Kana Matsubara, Kohei Godai, Kenya Kamijima, Yoichiro Abe

Published in: JA Clinical Reports | Issue 1/2022

Abstract

Background

Complex anatomical features are challenging for minimally invasive intradiscal therapy owing to insufficient visualization for accurate needle advancement. We report the case of a patient with dysraphic vertebral pathologies who presented with L5/S1 degeneration and was successfully treated with annuloplasty using the cone-beam computed tomography (CBCT)-assisted radiofrequency thermocoagulation system.

Case presentation

A 34-year-old woman presented with a lower back and left radicular pain of L5/S1 discogenic origin, accompanied by spina bifida occulta and lumbosacral transitional vertebra. Radiofrequency annuloplasty was performed to preserve disc height and spinal stability, with real-time CBCT guidance for the congenital and degenerative conditions. The procedure relieved her left lower-extremity pain and magnetic resonance imaging revealed that the L5/S1 disc bulging decreased while the disc height was preserved.

Conclusion

Optimal accessibility of radiofrequency thermocoagulation and effective needle guidance using CBCT significantly improve the success rate of annuloplasty at the L5/S1 degenerative disc with severe vertebral deformity.

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Title: Successful annuloplasty using the cone-beam computed tomography-assisted radiofrequency thermocoagulation system in a patient with severe vertebral deformity: a case report
Authors: Shintaro Hagihara
Masayuki Nakagawa
Kana Matsubara
Kohei Godai
Kenya Kamijima
Yoichiro Abe
Publication date: 01-12-2022
Publisher: Springer Berlin Heidelberg
Keywords: Spina Bifida Occulta
Spina Bifida Occulta
Computed Tomography
Computed Tomography
Discography
Published in: JA Clinical Reports / Issue 1/2022
Electronic ISSN: 2363-9024
DOI: https://doi.org/10.1186/s40981-022-00554-z

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Successful annuloplasty using the cone-beam computed tomography-assisted radiofrequency thermocoagulation system in a patient with severe vertebral deformity: a case report

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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