Author:
Touboul Estelle,Salomon-Goëb S.,Boistelle M.,Sobhy Danial J.,Deprez V.,Goëb V.
Abstract
AbstractUltrasound-guided injections are an alternative to evaluate in the management of low back pain associated with osteoarthritis of the lumbar facet joints: it eliminates the risk of ionizing radiation for both the patient and the practitioner. This study aims to compare the short-term clinical efficacy of lumbar facet joints injections between ultrasound-guided injections and fluoroscopy-guided injections. Observational, retrospective, single-center study. Patients received one or two lumbar zygapophyseal joints injections under fluoroscopy or ultrasound and a follow-up consultation at one month. Data from 54 patients was collected. The median of the evolution of VAS at one month was − 30 mm [−50.0; −20.0] in the ultrasound group and – 29.5 mm [−47.0; −15.0] (p < 0.001) in the fluoroscopy group with no statistically significant difference between the two groups (p = 0.835). There were no injection-related complications in either group during the follow-up. The percentage of patients who stopped NSAIDs was not statistically significant between the two groups (p = 1.00). Injections of corticosteroids of lumbar facet joints under ultrasound guidance significantly reduced pain after one month, with no difference found between the two techniques. Ultrasound-guided injections are reliable, accessible and a safe alternative that should be preferred over those under fluoroscopy.
Publisher
Springer Science and Business Media LLC
Reference25 articles.
1. Mooney, V. & Robertson, J. The facet syndrome. Clin. Orthop. Relat. Res. 76, 149–156 (1976).
2. Henrotin, Y., Alvarez-Miezentseva, V. & Simoni, P. Arthrose. in Imagerie Musculosquelettique: Pathologies Générales. 1–22. (2014).
3. Bogduk, N. International Spinal Injection Society guidelines for the performance of spinal injection procedures: Part 1: Zygapophysial joint blocks. Clin. J. Pain 13, 285–286 (1997).
4. Cozic, C. et al. Diminution de l’exposition des patients aux radiations au cours des gestes de rhumatologie interventionnelle après optimisation des pratiques. Rev. Rhum. 83, 452–456 (2016).
5. Clay, M., Lisse, A., Sudre, A. & Gaudin, P. Place de l’échographie dans la rhumatologie interventionnelle. Rev. Rhumat. Monograph. 82, 237–241 (2015).
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献