Is there any dif in doing a FJI vs Mbb/RFA in treating posterior elements for chronic compression fractures. I did a mbb and RFA on a patient with T11, T12 old comp fractures. Did pretty well with first RFA, 2nd RFA with less benefit. Saw a surgeon who said of course it didnt work do a facet injection instead. Not sure if there is any data on one being superior to the other specfically for treating posterior comp for chronic compression fx.
I havent found anything other then case series, non randomized studies for both, however my thought is that doing a FJI when an RFA has failed for treating posterior compression fracture doesnt make a whole lot of sense.
I do have other reaons I go after FJI>mbb ie be young healthy person done want to denervate multifidus, But to just say oh the pt's RFA didnt work for the comp fx, you should do a FJI doesnt make sense to me.
Any input is always appreciated .
I havent found anything other then case series, non randomized studies for both, however my thought is that doing a FJI when an RFA has failed for treating posterior compression fracture doesnt make a whole lot of sense.
I do have other reaons I go after FJI>mbb ie be young healthy person done want to denervate multifidus, But to just say oh the pt's RFA didnt work for the comp fx, you should do a FJI doesnt make sense to me.
Any input is always appreciated .
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