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...

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Bibliographic Details
Published in:Clinical imaging 2013-07, Vol.37 (4), p.649-656
Main Authors: Galhom, Ayman E, al-Shatouri, Mohammad A
Format: Article
Language:English
Subjects:
Adult
Analgesics - administration & dosage
Anti-Inflammatory Agents - administration & dosage
Back pain
Back surgery
Chronic Pain - diagnostic imaging
Chronic Pain - therapy
Disability
Female
Fluoroscopy
Fluoroscopy guided
Humans
Injections, Epidural - methods
Injections, Spinal
Intervention
Low Back Pain - diagnostic imaging
Low Back Pain - therapy
Lumbar Vertebrae - diagnostic imaging
Male
Middle Aged
Nerve Block - methods
Pain management
Patients
Physical Therapy Modalities
Prospective Studies
Radicular pain
Radiology
Spine injection
Surgery
Treatment Outcome
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Summary: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.
ISSN:0899-7071
1873-4499
DOI:10.1016/j.clinimag.2013.02.006