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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