Efficacy of therapeutic fluoroscopy-guided lumbar spine interventional procedures

被引:4
作者
Galhom, Ayman E. [1 ]
al-Shatouri, Mohammad A. [2 ]
机构
[1] Univ Hosp, Fac Med, Dept Neurosurg, Ismailia 41522, Egypt
[2] Suez Canal Univ Hosp, Fac Med, Dept Radiol, Ismailia 41522, Egypt
关键词
Fluoroscopy guided; Spine injection; Radicular pain; Disability; EPIDURAL STEROID INJECTIONS; LOW-BACK-PAIN; FACET JOINT INJECTION; CORTICOSTEROID INJECTIONS; RADICULAR PAIN; SCIATICA; MANAGEMENT; BLOCKS; RADIOFREQUENCY; RADICULOPATHY;
D O I
10.1016/j.clinimag.2013.02.006
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Purpose: To evaluate the benefit of fluoroscopy-guided lumbar spine interventional procedures in treatment of low back pain. Methods: This prospective descriptive study was performed on 60 patients with back/radicular pain after showing no improvement with conservative treatment. Results: One hundred and two injection sessions were done (average 1.7 injection per patient). Caudal and lumbar transforaminal injections were effective in 55.9% and 78.5%, respectively. Facet and sacroiliac interventions were effective in 28.3% and 10%, respectively. Complications occurred in 20% of the procedures. Conclusion: Lumbar injections improved pain/disability related to discogenic lumbar spinal diseases. Efficacy of facet and sacroiliac injections is limited. (c) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:649 / 656
页数:8
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