Percutaneous Lumbar Fusion

This presentation covers percutaneous lumbar facet fusion as an emerging treatment for patients with axial low back pain unresponsive to conservative therapies, radiofrequency ablation, or surgical neurotomy. Dr. Didier Demesmin explains the challenges in diagnosing facet joint pain and reviews diagnostic tools like medial branch blocks. After outlining standard denervation techniques, he introduces minimally invasive facet fusion using intra-articular screws. This technique stabilizes micro-movement at the facet joint, reduces pain, preserves future surgical options, and allows rapid recovery. The screw design enhances osteointegration, and patients typically return to activity within weeks—offering a viable alternative to traditional lumbar fusion.