{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T04:30:04Z","timestamp":1783744204807,"version":"3.55.0"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T00:00:00Z","timestamp":1660089600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100007747","name":"University of Utah","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007747","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Instrumented lumbar spinal fusion is common and results in biomechanical changes at adjacent spinal segments that increase facet load bearing. This can cause facet-mediated pain at levels adjacent to the surgical construct. Medial branch nerve radiofrequency ablation (RFA) exists as a treatment for some cases. It is important to acknowledge that the approach and instrumentation used during some specific lumbar fusion approaches will disrupt the medial branch nerve(s). Thus, the proceduralist must consider the fusion approach when determining which medial branch nerves are necessary to anesthetize for diagnosis and then to potentially target with RFA. This article discusses the relevant technical considerations for preparing for RFA to denervate lumbosacral facet joints adjacent to fusion constructs.<\/jats:p>","DOI":"10.1093\/pm\/pnac118","type":"journal-article","created":{"date-parts":[[2022,8,10]],"date-time":"2022-08-10T11:47:36Z","timestamp":1660132056000},"page":"165-170","source":"Crossref","is-referenced-by-count":6,"title":["Considerations for Lumbar Medial Branch Nerve Radiofrequency at Spinal Motion Segments Adjacent to a Fusion Construct"],"prefix":"10.1093","volume":"24","author":[{"given":"Joel","family":"Turtle","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, University of Utah School of Medicine , Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3508-848X","authenticated-orcid":false,"given":"Scott","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Vanderbilt University of Utah School of Medicine , Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Vanderbilt University of Utah School of Medicine , Nashville, Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert W","family":"Hurley","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Neurobiology and Anatomy, Wake Forest University School of Medicine , Winston-Salem, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Spina","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, University of Utah School of Medicine , Salt Lake City, Utah"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zachary L","family":"McCormick","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, University of Utah School of Medicine , Salt Lake City, Utah, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,8,10]]},"reference":[{"issue":"1","key":"2023020109513191000_pnac118-B1","doi-asserted-by":"crossref","first-page":"17892","DOI":"10.1038\/s41598-021-97288-2","article-title":"Biomechanical effects of lumbar fusion surgery on adjacent segments using musculoskeletal models of the intact, degenerated and fused spine","volume":"11","author":"Ebrahimkhani","year":"2021","journal-title":"Sci Rep"},{"issue":"17","key":"2023020109513191000_pnac118-B2","doi-asserted-by":"crossref","first-page":"1938","DOI":"10.1097\/01.brs.0000137069.88904.03","article-title":"Adjacent segment disease after lumbar or lumbosacral fusion: Review of the literature","volume":"29","author":"Park","year":"2004","journal-title":"Spine (Phila Pa 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