Indication for Spine Surgery

[Italian Language with English CC/Subtitles]

This in-depth session, led by a medical expert, delves into the specific topic of antalgic and percutaneous radiofrequency procedures on Gasser’s ganglion. The presentation begins with an acknowledgment of the complexity and breadth of the subject, focusing specifically on interventions targeting Gasser’s ganglion, and extending to the Cisterna compartment and ganglionic roots. The speaker addresses the use of these procedures in treating conditions like post-traumatic trigeminal pain neuropathies and trigeminal postherpetic neuralgia. The session explores different intervention strategies for neuralgia and neuropathies, highlighting the varying approaches and targets, such as neurolysis for neuralgia and pulsed radiofrequency for neuropathies. The speaker then introduces an algorithm for treating trigeminal neuralgia, encompassing drug therapy with sodium channel blockers and surgical interventions based on patient-specific factors. The presentation also covers the technical aspects of the procedures, including needle placement and trajectory, patient response during surgery, and considerations for targeting the retro-gasserian root. The session concludes with a discussion on the pros and cons of the procedure, such as high initial success rates versus frequent relapses, and strategies to optimize outcomes and minimize complications.

This lecture is presented in Italian and is accompanied by AI-generated English subtitles. While we strive for accuracy, the subtleties of language may lead to minor discrepancies in translation. We encourage viewers to consider this when accessing this valuable resource.