Basivertebral Nerve Ablation

This presentation explores basivertebral nerve (BVN) ablation as a treatment for chronic low back pain originating from the anterior spinal column. The speaker, an experienced practitioner and patient of the procedure, explains how BVN ablation targets vertebrogenic pain linked to Modic changes on MRI. The technique involves radiofrequency ablation of the basivertebral nerve to disrupt pain signaling, offering long-term relief. Clinical trials, including the SMART and INTRACEPT studies, demonstrate its effectiveness. The discussion highlights patient selection, procedural advancements, and case studies, emphasizing BVN ablation as a potential alternative to fusion surgery and spinal cord stimulation.