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.