Proposed LCD - Intraosseous Basivertebral Nerve Ablation (DL39642)

Sources of InformationN/ABibliographyConger A, Schuster NM, Cheng DS, et al. The Effectiveness of Intraosseous Basivertebral Nerve Radiofrequency Neurotomy for the Treatment of Chronic Low Back Pain in Patients with Modic Changes: A Systematic Review.Pain Med. 2021;22(5):1039-1054. doi:10.1093/pm/pnab040*ECRI Institute. Clinical Evidence Assessment. Intracept intraosseous nerve ablation system (Relievant Medsystems, Inc.) for treating low-back pain. October 2020b.Fischgrund JS, Rhyne A, Franke J, et al. Intraosseous basivertebral nerve ablation for the treatment of chronic low back pain: a prospective randomized double-blind sham-controlled multi-center study.Eur Spine J. 2018;27(5):1146-1156. doi:10.1007/s00586-018-5496-1Fischgrund JS, Rhyne A, Franke J, et al. Intraosseous Basivertebral Nerve Ablation for the Treatment of Chronic Low Back Pain: 2-Year Results From a Prospective Randomized Double-Blind Sham-Controlled Multicenter Study.Int J Spine Surg. 2019;13(2):110-119. Published 2019 Apr 30. doi:10.14444/6015Fischgrund JS, Rhyne A, Macadaeg K, et al. Long-term outcomes following intraosseous basivertebral nerve ablation for the treatment of chronic low back pain: 5-year treatment arm results from a prospective randomized double-blind sham-controlled multi-center study.Eur Spine J. 2020;29(8):1925-1934. doi:10.1007/s00586-020-06448-x*Jarvinen J, Karppinen J, Niinimki J, et al. Association between changes in lumbar Modic changes and low back symptoms over a two-year period.BMC Musculoskelet Disord.2015;16:98.*Jensen TS, Karppinen J, Sorensen JS, Niinimki J, Leboeuf-Yde C. Vertebral endplate signal changes (Modic change): a systematic literature review of prevalence and association with non-specific low back pain.Eur Spine J.2008;17(11):14071422.Khalil JG, Smuck M, Koreckij T, et al. A prospective, randomized, multicenter study of intraosseous basivertebral nerve ablation for the treatment of chronic low back pain.Spine J. 2019;19(10):1620-1632. doi:10.1016/j.spinee.2019.05.598Kim HS, Adsul N, Yudoyono F, et al. Transforaminal Epiduroscopic Basivertebral Nerve Laser Ablation for Chronic Low Back Pain Associated with Modic Changes: A Preliminary Open-Label Study.Pain Res Manag. 2018;2018:6857983. Published 2018 Aug 14. doi:10.1155/2018/6857983*Koreckij T, Kreiner S, Khalil J, et al. Prospective, randomized, multicenter study of intraosseous basivertebral nerve ablation for the treatment of chronic low back pain: 24-month treatment arm results.NASSJ. 2021;8:100089-100098.Lorio M, Clerk-Lamalice O, Beall DP, Julien T. International Society for the Advancement of Spine Surgery Guideline-Intraosseous Ablation of the Basivertebral Nerve for the Relief of Chronic Low Back Pain.Int J Spine Surg. 2020;14(1):18-25. Published 2020 Feb 29. doi:10.14444/7002*Luoma K, Vehmas T, Kerttula L, Gronblad M, Rinne E. Chronic low back pain in relation to Modic changes, bony endplate lesions, and disc degeneration in a prospective MRI study.Eur Spine J.2016;25(9):2873-2881.Macadaeg K, Truumees E, Boody B, et al. A prospective, single arm study of intraosseous basivertebral nerve ablation for the treatment of chronic low back pain: 12-month results [published correction appears in N Am Spine Soc J. 2020 Dec 01;4:100039].N Am Spine Soc J. 2020;3:100030. Published 2020 Sep 18. doi:10.1016/j.xnsj.2020.100030Markman JD, Rhyne AL, Sasso RC, et al. Association Between Opioid Use and Patient-Reported Outcomes in a Randomized Trial Evaluating Basivertebral Nerve Ablation for the Relief of Chronic Low Back Pain.Neurosurgery. 2020;86(3):343-347. doi:10.1093/neuros/nyz093*Michalik A, Conger A, Smuck M, Maus TP, McCormick ZL. Intraosseous basivertebral nerve radiofrequency ablation for the treatment of vertebral body endplate low back pain: current evidence and future directions.Pain Medicine.2021;22(S1):S24-S30.North American Spine Society (NASS). Basivertebral nerve ablation: defining appropriate coverage positions.North American Spine Society. 2023;spine.orgSayed D, Naidu RK, Patel KV, et al. Best practice guidelines on the diagnosis and treatment of vertebrogenic pain with basivertebral nerve ablation from the American Society of Pain and Neuroscience.JPR. 2022;15:28012819.*Smuck M, Khalil J, Barrette K, et al. Prospective, randomized, multicenter study of intraosseous basivertebral nerve ablation for the treatment of chronic low back pain: 12-month results.Reg Anesth Pain Med. 2021;0:1-11.Truumees E, Macadaeg K, Pena E, et al. A prospective, open-label, single-arm, multi-center study of intraosseous basivertebral nerve ablation for the treatment of chronic low back pain.Eur Spine J. 2019;28(7):1594-1602. doi:10.1007/s00586-019-05995-2