[Solved]: Documentation Dissection Diagnosis: Lumbosacral…

Documentation Dissection Diagnosis: Lumbosacral spondylosis without myelopathy. Procedure Performed: Radiofrequency thermocoagulation neurolysis of medial branches, posterior primary rami, L2-L3, L3-L4, 14-15, and superior branch, posterior primary ransus, L5-S1, flaoroscopic guidance. Right Side: Heplock was placed and patient was given 1 mg of versed. The patient was placed in the prone position on the fluoroscopy table. The skin over the right lumbosacral spille was prepped with Betadine and sterildy draped. The appropriate vertebral levels were identified fluoroscopically. Using oblique fluoroscopy, the target sites for the lumbar medial branches were identified as the ipsilateral junctions of the superior border of the transwerse process and the lateral border of the respective superior articulating process. For the SI superior branch. It was the superior rim of the posterior opening of the posterior SI neuroforamin. The overlying skin at each site was anesthetized with lidocathe. The procedure was performed with a 100 mm Inswalled 22 -gauge stimalating needle with a 10 mm active tip. Afer inserting the electrode, the tip of the needle was manipulared slightly to achieve concordant sensation with less than 1 -volt threshold stimulation at 50 herta to determine eligibility for lesioning. All of the above sites passed this sensory stimulation test. This was followed by motor stimulation at 2 hertz and 2 volts at each eligible site, which produced no buttock or lower estremity mascle twitching. After passing these 2 criteria, the electrode was removed and each eligible sine was anesthetized with 0.75 cc of a mixture of