Extra-Dural Spinal Nerve Transection – Avulsion as an alternative to RFN for Lumbar

In this video, Dr. Saeger introduces an alternative to radiofrequency neurotomy for treating facet-related pain. The method involves an endoscopic approach that offers a permanent solution by transecting and avulsing the nerve under direct vision. This technique, which has been effectively used for seven years, eliminates the need for repeated procedures, providing long-term relief. The procedure uses an endoscope with an 8-millimeter working channel, typically performed under general anesthesia. The speaker highlights the importance of precise localization, visual monitoring, and the benefits of permanent pain relief for patients.