Fluoroscopy-Guided High-Intensity Focused Ultrasound Neurotomy of the Lumbar Zygapophyseal Joints: A Clinical Pilot Study.
Jordi Perez, Michael Gofeld, Suzanne Leblang...
https://pubmed.ncbi.nlm.nih.gov/34534337/Actively Recruiting
Led by FUSMobile Inc. · Updated on 2025-05-22
10
Participants Needed
1
Research Sites
13 weeks
Total Duration
This research aims to evaluate the use of the Neurolyser XR device, which delivers high-intensity focused ultrasound HIFU, for treating low back pain caused by sacroiliitis. Sacroiliitis involves inflammation and arthritis in the sacroiliac joint, which connects the sacrum to the iliac bone in the lower spine and bears the bodys weight. The study focuses on the safety and effects of using sound waves to target and damage nerves that carry pain signals from this joint. The treatment involves using the Neurolyser XR device to deliver focused ultrasound energy non-invasively to the lateral sacral branch nerves near the sacroiliac joint. This energy raises the temperature at the nerve site to intentionally damage the pain-transmitting fibers. Participants will receive this nerve ablation to study its impact on their pain. Participants will be monitored through various assessments including the number of treatment-related adverse events using standard criteria, pain levels measured by the Numerical Rating Scale, changes in pain medication use, and quality of life evaluated by the Oswestry Disability Index and Brief Pain Inventory. These evaluations will occur through a 6-month follow-up period. The study involves multiple visits for treatment and monitoring over this time to gather safety and effectiveness data.
CONDITIONS
Use of the Neurolyser XR for the Treatment of Low Back Pain Related to Sacroiliitis
A
Alexi Moruza
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FUSMobile Inc.
Lead Sponsor
Focused Ultrasound Foundation
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Investigational HIFU (Neurolyser XR) | Current practice (RFA or SIJ injection) |
|---|---|---|
| What it is | Non‑invasive HIFU delivered via Neurolyser XR targeting lateral sacral branch nerves to treat sacroiliitis pain | Radiofrequency ablation of sacral lateral branches or intra‑articular SIJ injections are commonly used interventional treatments for sacroiliitis‑related low back pain |
| Role in trial | Investigational treatment being evaluated in a single‑group study | Not part of the trial but represents existing interventional practice |
| Primary use | To reduce chronic sacroiliitis‑related lower back pain via targeted neuroablation | To alleviate SIJ pain by temporarily disrupting pain signals (via RFA) or reducing inflammation (via injections) |
| How it is performed | Delivers focused ultrasound energy non‑invasively through skin and gel pad targeting lateral branch nerves under imaging guidance | Procedures involve percutaneous probe placement for RFA or needle injection into SIJ under imaging guidance |
| Important risks | Safety to be assessed; adverse events collected through 6‑month follow‑up | Well‑characterized procedural risks with low rates of serious events |
| Important limitations | No control group; small enrolment (n≅10); outcomes compared only to baseline | Effect duration may be temporary; variability in procedural success across patients |
| Patient impact | Impact on pain reduction and function not yet observed; outcomes pending trial completion | Procedures can provide pain relief and functional improvement for many patients, though durability varies |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Single treatment session
Participants receive a non-invasive high-intensity focused ultrasound treatment targeted at the lateral sacral branch nerves to reduce low back pain related to sacroiliitis.
1 visit (in-person)
Duration - Up to 6 months
Participants are monitored for treatment safety and efficacy, including assessments of pain levels and quality of life.
Multiple visits during 6 month follow-up period
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Jordi Perez, Michael Gofeld, Suzanne Leblang...
https://pubmed.ncbi.nlm.nih.gov/34534337/FUSMobile Inc.
Lead Sponsor
Focused Ultrasound Foundation
Collaborating Sponsor