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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Veröffentlicht in: | Clinical imaging 2013-07, Vol.37 (4), p.649-656 |
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description | 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. |
doi_str_mv | 10.1016/j.clinimag.2013.02.006 |
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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.</description><identifier>ISSN: 0899-7071</identifier><identifier>EISSN: 1873-4499</identifier><identifier>DOI: 10.1016/j.clinimag.2013.02.006</identifier><identifier>PMID: 23660156</identifier><identifier>CODEN: CLIMEB</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>Clinical imaging, 2013-07, Vol.37 (4), p.649-656</ispartof><rights>Elsevier Inc.</rights><rights>2013 Elsevier Inc.</rights><rights>Copyright © 2013 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited 2013</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c517t-21be4c03d5cfe8124cc45170e310763c848af9eed6cdf66e2620e27a06fe43f93</citedby><cites>FETCH-LOGICAL-c517t-21be4c03d5cfe8124cc45170e310763c848af9eed6cdf66e2620e27a06fe43f93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.clinimag.2013.02.006$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23660156$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Galhom, Ayman E</creatorcontrib><creatorcontrib>al-Shatouri, Mohammad A</creatorcontrib><title>Efficacy of therapeutic fluoroscopy-guided lumbar spine interventional procedures</title><title>Clinical imaging</title><addtitle>Clin Imaging</addtitle><description>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.</description><subject>Adult</subject><subject>Analgesics - administration & dosage</subject><subject>Anti-Inflammatory Agents - administration & dosage</subject><subject>Back pain</subject><subject>Back surgery</subject><subject>Chronic Pain - diagnostic imaging</subject><subject>Chronic Pain - therapy</subject><subject>Disability</subject><subject>Female</subject><subject>Fluoroscopy</subject><subject>Fluoroscopy guided</subject><subject>Humans</subject><subject>Injections, Epidural - methods</subject><subject>Injections, Spinal</subject><subject>Intervention</subject><subject>Low Back Pain - diagnostic imaging</subject><subject>Low Back Pain - therapy</subject><subject>Lumbar Vertebrae - diagnostic imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nerve Block - methods</subject><subject>Pain management</subject><subject>Patients</subject><subject>Physical Therapy Modalities</subject><subject>Prospective Studies</subject><subject>Radicular pain</subject><subject>Radiology</subject><subject>Spine injection</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><issn>0899-7071</issn><issn>1873-4499</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk9v1DAQxS0EosvCV6giceGSMP4TO74gUNUCUiWEgLPldcbFSzYOdlJpvz1edgtSL3vyYX7vjfzeEHJJoaFA5dtt44Ywhp29axhQ3gBrAOQTsqKd4rUQWj8lK-i0rhUoekFe5LyFItRCPScXjEsJtJUr8vXa--Cs21fRV_NPTHbCZQ6u8sMSU8wuTvv6bgk99tWw7DY2VXkKI1ZhnDHd4ziHONqhmlJ02C8J80vyzNsh46vTuyY_bq6_X32qb798_Hz14bZ2LVVzzegGhQPet85jR5lwTpQBIKegJHed6KzXiL10vZcSmWSATFmQHgX3mq_Jm6NvWf17wTybXcgOh8GOGJdsaAugdNvq7jwqmCohtkydR7nUjHOhoKCvH6HbuKQSxokSsiumayKPlCtp5oTeTKnUlvaGgjlUabbmoUpzqNIAM6XKIrw82S-bHfb_ZA_dFeD9EcCS8n3AZLILOJYaQkI3mz6G8zvePbL4izk7_MI95v__MbkIzLfDQR3uiXIAaKXmfwCqrsc4</recordid><startdate>20130701</startdate><enddate>20130701</enddate><creator>Galhom, Ayman E</creator><creator>al-Shatouri, Mohammad A</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>P64</scope><scope>7X8</scope><scope>7QO</scope></search><sort><creationdate>20130701</creationdate><title>Efficacy of therapeutic fluoroscopy-guided lumbar spine interventional procedures</title><author>Galhom, Ayman E ; al-Shatouri, Mohammad A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c517t-21be4c03d5cfe8124cc45170e310763c848af9eed6cdf66e2620e27a06fe43f93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Analgesics - administration & dosage</topic><topic>Anti-Inflammatory Agents - administration & dosage</topic><topic>Back pain</topic><topic>Back surgery</topic><topic>Chronic Pain - diagnostic imaging</topic><topic>Chronic Pain - therapy</topic><topic>Disability</topic><topic>Female</topic><topic>Fluoroscopy</topic><topic>Fluoroscopy guided</topic><topic>Humans</topic><topic>Injections, Epidural - methods</topic><topic>Injections, Spinal</topic><topic>Intervention</topic><topic>Low Back Pain - diagnostic imaging</topic><topic>Low Back Pain - therapy</topic><topic>Lumbar Vertebrae - diagnostic imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nerve Block - methods</topic><topic>Pain management</topic><topic>Patients</topic><topic>Physical Therapy Modalities</topic><topic>Prospective Studies</topic><topic>Radicular pain</topic><topic>Radiology</topic><topic>Spine injection</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Galhom, Ayman E</creatorcontrib><creatorcontrib>al-Shatouri, Mohammad A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><jtitle>Clinical imaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Galhom, Ayman E</au><au>al-Shatouri, Mohammad A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of therapeutic fluoroscopy-guided lumbar spine interventional procedures</atitle><jtitle>Clinical imaging</jtitle><addtitle>Clin Imaging</addtitle><date>2013-07-01</date><risdate>2013</risdate><volume>37</volume><issue>4</issue><spage>649</spage><epage>656</epage><pages>649-656</pages><issn>0899-7071</issn><eissn>1873-4499</eissn><coden>CLIMEB</coden><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23660156</pmid><doi>10.1016/j.clinimag.2013.02.006</doi><tpages>8</tpages></addata></record> |
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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 |
title | Efficacy of therapeutic fluoroscopy-guided lumbar spine interventional procedures |
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