Clinical Case Study Library

De-identified teaching cases in Basivertebral Nerve Ablation — where the imaging tells the diagnostic and procedural story.

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Each case is presented as a teaching case: the MRI tells the diagnostic story, the fluoroscopic images tell the procedural story, and the follow-up demonstrates the clinical outcome. Copy is kept concise so the imaging leads.

All cases are de-identified and contain no protected health information. The case images are contributed and credited to Jeffery J. Rowe, MD. These teaching cases do not constitute medical advice or predict any individual's result.

De-identified sagittal lumbar MRI (T2-weighted) with vertebral levels T12 through S1 labeled, showing multilevel degenerative disc disease with Modic endplate changes most pronounced at L5–S1 and additional changes at L4–L5.

Case 001

Three-Level Basivertebral Nerve Ablation for Chronic Vertebrogenic Low Back Pain

A 59-year-old woman with chronic axial low back pain and multilevel Modic endplate changes treated with a three-level BVNA (L4, L5, S1) — approximately 85% improvement by 12 weeks.

Procedure: Three-level BVNA (L4, L5, S1)
Outcome: ≈85% improvement by 12 weeks

De-identified

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Case 002

Return to Long-Distance Motorcycle Riding After Four-Level Basivertebral Nerve Ablation for Vertebrogenic Low Back Pain

A 75-year-old man with more than a year of chronic axial low back pain and Modic Type 2 endplate changes at L3, L4, L5, and S1 treated with a four-level BVNA — nearly 90% improvement by four weeks.

Procedure: Four-level BVNA (L3, L4, L5, S1)
Outcome: ≈90% improvement by 4 weeks

De-identified

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Case 003

Multilevel Vertebrogenic Pain Successfully Treated with Basivertebral Nerve Ablation

A 76-year-old woman with persistent chronic axial low back pain and multilevel Modic endplate changes — treated with a six-level BVNA (L1–S1) after successful DRG stimulation for neuropathic leg pain — reporting approximately 75% improvement by 12 weeks.

Procedure: Six-level BVNA (L1–S1)
Outcome: ≈75% improvement by 12 weeks

De-identified

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Case 004

Returning to Community Life Through Treatment of Multilevel Vertebrogenic Pain

A 78-year-old woman with chronic axial low back pain and multilevel Modic Type 2 endplate changes from T12 through S1 treated with a multilevel BVNA — approximately 60% improvement by two months and a return to community volunteer work.

Procedure: Multilevel BVNA (T12–S1)
Outcome: ≈60% improvement by 2 months

De-identified

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Case 005

Returning to an Active Lifestyle Through Treatment of Vertebrogenic Pain

A 32-year-old woman — an active mother of two and former collegiate athlete — with chronic axial low back pain and L5–S1 Modic Type 2 endplate changes treated with a two-level BVNA — approximately 95% improvement by two months and a return to cycling and exercise.

Procedure: Two-level BVNA (L5, S1)
Outcome: ≈95% improvement by 2 months

De-identified

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Case 006

Persistent Vertebrogenic Pain Following Prior Lumbar Fusion

A 73-year-old woman with persistent chronic axial low back pain after a prior multilevel lumbar fusion, treated with Basivertebral Nerve Ablation performed safely around the existing instrumentation — approximately 60% improvement by eight weeks and a return to active retirement.

Procedure: Multilevel BVNA around instrumentation (T12–S1)
Outcome: ≈60% improvement by 8 weeks

De-identified

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