A method for removing a basivertebral nerve (BVN), includes the following sequential steps. First, inserting a bone needle into a
vertebral body of a
vertebra and advancing the bone needle under
fluoroscopy to a BVN base site. The bone needle includes an elongated shaft having a cannula extending from a proximal end to a distal end of the shaft, and a removable bevel tipped inner stylet extending through the cannula. Next, removing the inner stylet from the cannula and inserting a
drill / awl through the cannula into the BVN base site and once the
drill / awl position and depth is confirmed via
fluoroscopy drilling the BVN base out. Next, removing the
drill / awl from the cannula and inserting a cup
curette through the cannula into the BVN base site to further resect under
fluoroscopy the BVN base. Next, removing the cup
curette from the cannula and inserting a pituitary rongeur through the cannula into the BVN base site and removing under fluoroscopy all resected portions of the BVN base. Next, removing the pituitary rongeur from the cannula and inserting an electric
ablation probe through the cannula into the BVN base site and once the
ablation probe depth and position is confirmed ablating and cauterizing any remaining BVN base and forming a
lesion in the BVN site. Next, removing the
ablation probe from the cannula and inserting a nerve monitoring probe through the cannula into the BVN base site and testing to ensure that the BVN base has been fully removed from the BVN site and a void has been formed. Next, removing the nerve monitoring probe from the cannula and attaching a
syringe filled with bone graft to the proximal end of the shaft, and filling the void formed in the BVN site with bone graft.