Vertebral spondylosis is the arthrosis of the spinal column, which is a degenerative spinal disorder of the bones and joints. Usually the first process that occurs is the degeneration of the intervertebral disc. As a consequence, an overload strikes the facet joints that are located in the posterior part of the vertebrae and low back pain (sciatica) may appear. The pain appears typically during standing or prolonged walking and improves usually at rest.
Medical treatment associated with physical rehabilitation and physical therapy improves the pain in many patients. In those patients in whom the pain persists despite conservative treatment, a surgical intervention may be indicated to improve their quality of life.
Lumbar facet joint infiltration
Epidural and foraminal infiltration
Posterior lumbar dynamic fusion with interspinous devices