Efficacy of therapeutic fluoroscopy-guided lumbar spine interventional procedures.

Abstract

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.

• Authors: Ayman E Galhom, Mohammad A al-Shatouri
• Journal: Clinical imaging (Clin Imaging) 2013 Jul-Aug Vol. 37 Issue 4 Pg. 649-56 ISSN: 1873-4499 [Electronic] United States
• PMID: 23660156 (Publication Type: Clinical Trial, Journal Article)
• Copyright: Copyright © 2013 Elsevier Inc. All rights reserved.

Chemical References

• Analgesics
• Anti-Inflammatory Agents

Topics

• Adult
• Analgesics (administration & dosage)
• Anti-Inflammatory Agents (administration & dosage)
• Chronic Pain (diagnostic imaging, therapy)
• Female
• Fluoroscopy
• Humans
• Injections, Epidural (methods)
• Injections, Spinal
• Low Back Pain (diagnostic imaging, therapy)
• Lumbar Vertebrae (diagnostic imaging)
• Male
• Middle Aged
• Nerve Block (methods)
• Physical Therapy Modalities
• Prospective Studies
• Treatment Outcome