J Korean Pain Soc.  2003 Dec;16(2):205-208.

Stereotactic Sacral Ganglionotomy with Trans-sacral Approach: A case report

• Lee JB
• Lee KH
• Roh SS
• Lim SY
• Choi YR
• Shin KM

Abstract

Nerve fibers, and their cells in the ganglion from ventral root, will be destroyed with a stereotactic radiofrequency ganglionotomy. Since the dorsal root ganglion cells are more sensitive than other structures within the bundle, differential heat lesion is used to specifically affect the pain pathways, while leaving the motor pathways, proprioception and afferent input relatively intact. In the sacral regions, the dorsal root ganglions reside in bony canals. This type of approach requires that a small burr-hole be made through the plates of the posterior sacrum. Stereotactic sacral dorsal root ganglionotomies have been carried out at our pain management center, under local anesthesia, in patients with failed back surgery syndrome, cancer or post herpetic neuralgia. Here, a case of a patient that had received back surgery, three times at the same site, L5/S1, is reported.

Keyword

Burr-hole; Radio frequency thermocoagulation; Trans-sacral approach

MeSH Terms

Anesthesia, Local
Efferent Pathways
Failed Back Surgery Syndrome
Ganglia, Spinal
Ganglion Cysts
Hot Temperature
Humans
Nerve Fibers
Neuralgia
Pain Management
Proprioception
Sacrococcygeal Region
Sacrum
Spinal Nerve Roots