A Novel Fluoroscopic Methodology for Accurate and Precise Lumbar Facet Medial Branch Radiofrequency Ablations: An Educational Report.

Although fluoroscopic-guided lumbar facet medial branch radiofrequency ablations (LFMBRFAs) are commonly performed for lumbar spondylosis, literature describing techniques and methods focused on accuracy and precision is scarce. In this case report, we describe an innovative fluoroscopic methodology to help improve LFMBRFA procedural accuracy and precision. A 74-year-old man with a pertinent history of lumbar spondylosis presented with chronic bilateral low axial back pain underwent successful, and uncomplicated bilateral LFMBRFAs. The patient reported 90% to 100% analgesic relief at 6 months follow-up. He did not report any adverse events or complications.