The "banana splitting DREZotomy": an atraumatic method to improve pain relief after dorsal root entry zone lesioning in brachial plexus injuries. Case series and tenets for the treatment

Commentary: The Safety and Efficacy of Dorsal Root Entry Zone Lesioning for Pain Management in Patients With Brachial Plexus Avulsion: A Systematic Review and Meta-Analysis

“…In addition to this, 2 other approaches have been introduced recently: one with the use of microscissors (without bipolar coagulation in the depth of myelotomy) 12 and another with atraumatic splitting of the dorsal horn. 13 The results of the authors' analysis indicate that all kinds of interventions aimed at DREZ lesioning are effective for pain relief in patients with pain after BPA, but microsurgical DREZotomy (Sindou procedure) tends to result in slightly better pain improvement and a lower rate of postsurgical weakness compared with RF DREZ lesioning (Nashold procedure). The reason for this subtle difference is not completely clear, and the authors' explanation about lateral spread of thermal lesion from RF electrodes may only be a part of the problem.…”

“…In addition to this, 2 other approaches have been introduced recently: one with the use of microscissors (without bipolar coagulation in the depth of myelotomy) 12 and another with atraumatic splitting of the dorsal horn. 13…”