{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:55:39Z","timestamp":1785405339421,"version":"3.56.0"},"reference-count":8,"publisher":"Open Medical Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n Background<\/jats:title>\n Superior cluneal nerve (SCN) entrapment is an underrecognized cause of low back and buttock pain, often mimicking sacroiliac joint or lumbar spine pathology. There is limited literature describing outcomes following radiofrequency ablation (RFA) of the SCN.<\/jats:p>\n Case Series: We present three patients with chronic low back and buttock pain refractory to conservative and interventional therapies. All patients underwent diagnostic superior cluneal nerve blocks with 2.5 mL of 0.5% bupivacaine followed by RFA using a bipolar technique along the iliac crest. RFA was performed at 80\u00b0C for 90 seconds, with needles repositioned to create a continuous strip lesion. At 2\u20134 week follow-up, patients reported 65\u201390% pain relief.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n SCN RFA using a bipolar strip lesion technique along the iliac crest may provide significant pain relief in patients with refractory low back and buttock pain. Larger studies are needed to validate these findings.<\/jats:p>\n <\/jats:sec>","DOI":"10.52965\/001c.162145","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T16:47:13Z","timestamp":1779468433000},"source":"Crossref","is-referenced-by-count":0,"title":["Superior Cluneal Nerve Radiofrequency Ablation for Chronic Low Back and Buttock Pain: A Technical Description and Case Series of Three Patients"],"prefix":"10.52965","volume":"18","author":[{"given":"Jamal","family":"Hasoon","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03gds6c39","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Texas Health Science Center at Houston","department":["Department of Anesthesiology, Critical Care, and Pain Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Viswanath","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03gds6c39","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Texas Health Science Center at Houston","department":["Department of Anesthesiology, Critical Care, and Pain Medicine"]},{"name":"Mountain View Headache and Spine Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher L","family":"Robinson","sequence":"additional","affiliation":[{"name":"The Johns Hopkins University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan D","family":"Kaye","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03151rh82","id-type":"ROR","asserted-by":"publisher"}],"name":"Louisiana State University Health Sciences Center Shreveport"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2539","DOI":"10.2147\/JPR.S142115","article-title":"Anatomical etiology of \"pseudo-sciatica\" from superior cluneal nerve entrapment: a laboratory investigation","volume":"10","author":"T. Konno","year":"2017","journal-title":"J Pain Res"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e12","DOI":"10.1016\/j.wneu.2019.02.159","article-title":"Anatomic Study of Superior Cluneal Nerves: Revisiting the Contribution of Lumbar Spinal Nerves","volume":"128","author":"J. Iwanaga","year":"2019","journal-title":"World Neurosurg"},{"issue":"4","key":"ref3","first-page":"E503","article-title":"Superior and Middle Cluneal Nerve Entrapment: A Cause of Low Back and Radicular Pain","volume":"25","author":"H. W. Karl","year":"2022","journal-title":"Pain Physician"},{"issue":"4","key":"ref4","doi-asserted-by":"publisher","first-page":"35505","DOI":"10.52965\/001c.35505","article-title":"A Comprehensive Review of Cluneal Neuralgia as a Cause of Lower Back Pain","volume":"14","author":"D. Anderson","year":"2022","journal-title":"Orthop Rev (Pavia)"},{"issue":"7","key":"ref5","first-page":"E1129","article-title":"Radiofrequency Treatment of Iliac and Paravertebral Cluneal Nerves for Low Back Pain","volume":"25","author":"M. Knight","year":"2022","journal-title":"Pain Physician"},{"issue":"2","key":"ref6","doi-asserted-by":"publisher","first-page":"655","DOI":"10.1007\/s40122-022-00385-x","article-title":"Radiofrequency Ablation of the Superior Cluneal Nerve: A Novel Minimally Invasive Approach Adopting Recent Anatomic and Neurosurgical Data","volume":"11","author":"O. Visnjevac","year":"2022","journal-title":"Pain Ther"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-025-09504-6","article-title":"Cluneal nerve entrapment decompression: a systematic review of 236 surgical cases","author":"O. A. Alkulli","year":"2025","journal-title":"Eur Spine J"},{"issue":"2","key":"ref8","doi-asserted-by":"publisher","first-page":"263","DOI":"10.3171\/2015.1.SPINE14173","article-title":"Association between intermittent low-back pain and superior cluneal nerve entrapment neuropathy","volume":"24","author":"Y. Chiba","year":"2016","journal-title":"J Neurosurg Spine"}],"container-title":["Orthopedic Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/162145-superior-cluneal-nerve-radiofrequency-ablation-for-chronic-low-back-and-buttock-pain-a-technical-description-and-case-series-of-three-patients","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T16:47:14Z","timestamp":1779468434000},"score":1,"resource":{"primary":{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/162145-superior-cluneal-nerve-radiofrequency-ablation-for-chronic-low-back-and-buttock-pain-a-technical-description-and-case-series-of-three-patients"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,22]]},"references-count":8,"URL":"https:\/\/doi.org\/10.52965\/001c.162145","relation":{},"ISSN":["2035-8164"],"issn-type":[{"value":"2035-8164","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,22]]}}}