Accuracy and efficacy of fluoroscopy-guided pars interarticularis injections on immediate and short-term pain relief

Kershen, L. Michael; Nacey, Nicholas C.; Patrie, James T.; Fox, Michael G.

doi:10.1007/s00256-016-2427-2

Cited by 10 publications

(9 citation statements)

References 25 publications

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“…The injections are made directly into the pseudarthrosis in the pars, given the direct site of pain generation is the pars fracture. Kershen et al [ 56 ] retrospectively reviewed 121 patients undergoing pars injection with the aim of determining the accuracy and short-term efficacy of fluoroscopy-guided steroid/anesthetic injections for symptomatic pars defects. Patient-reported VAS scores were used to measure outcomes.…”

Section: Spondylolysis and Spondylolisthesismentioning

confidence: 99%

Outcomes of Various Treatment Modalities for Lumbar Spinal Ailments in Elite Athletes: A Literature Review

Gadia¹,

Shah²,

Nene³

2018

Asian Spine J

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Lumbar spinal injuries are common in elite athletes, who can present with a spectrum of ailments ranging from lumbar strain to prolapsed intervertebral discs. Sequelae can include neurological impairment and lumbar instability among other possible outcomes. This group of patients is unique in terms of their clinicoradiological presentation and treatment modalities. The primary goals of treatment are a rapid return to play and prevention of recurrence, thus prolonging the athlete’s professional career. Treatment modalities can range from activity restriction to nerve root blocks and surgery. A successful treatment outcome is based on timely diagnosis, treatment suiting the demands of the particular sport, and early rehabilitation. A multidisciplinary team approach involving the coach, rehabilitation specialist, pain management specialist, and spine surgeon helps in planning appropriate treatment. In this article, we review special considerations in the elite athletic population with lumbar spinal ailments as well as the outcomes of various treatment modalities.

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Section: Spondylolysis and Spondylolisthesismentioning

confidence: 99%

Outcomes of Various Treatment Modalities for Lumbar Spinal Ailments in Elite Athletes: A Literature Review

Gadia¹,

Shah²,

Nene³

2018

Asian Spine J

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“…In one study by Wald et al, 38% of patients experienced pain relief at 2 months post procedure. 112 Kershen et al 111 , on the other hand, showed only 19% of patients with greater than 50% pain reduction 1-week post injection. Nevertheless, pars interarticularis has shown to be a safe procedure and may be valuable in the selection of patients with symptomatic spondylolysis for surgical repair.…”

Section: Pars Defect Injectionmentioning

confidence: 98%

“…Injections are often made up of an anaesthetic and corticosteroid combination and are directly targeted into the spondylolytic area under fluoroscopic or CT guidance. 111,112 CT-guided injections currently however have not been well described. Under fluoroscopy, the patient is placed in a prone position with a pillow placed below the lower abdomen to minimise lumbar lordosis.…”

Section: Pars Defect Injectionmentioning

confidence: 99%

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Image‐guided spinal injection for pain management

et al. 2021

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Radiculopathy and spinal pain are debilitating conditions affecting millions of people worldwide each year. While most cases can be managed conservatively with physiotherapy and nonsteroidal anti-inflammatory medications, minimally invasive corticosteroid injections are the mainstay intervention for those not responsive to conservative treatment. Historically, spinal injections were performed in the absence of imaging guidance; however, imaging modalities, in particular fluoroscopy and computer tomography (CT), have become the standard of care in performing most of these procedures. Under imaging guidance, operators can accurately confirm needle placement and safely target localised pathologies.

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“…Most patients are successfully managed conservatively, with surgery reserved for the 9-15% of cases that remain symptomatic after conservative care [29]. Because the condition can be asymptomatic, diagnostic steroid and anesthetic injection can be helpful to confirm the spondylolysis as the source of the patient's pain prior to surgery [34].…”

Section: Lower Lumbarmentioning

confidence: 99%

Spine Trauma

Chang

Pathria

2021

IDKD Springer Series

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Spine trauma is a common indication for diagnostic imaging, and there has been a gradual shift to using cross-sectional imaging techniques for screening and evaluating the injured spine, particularly in elderly patients where radiography can be challenging. The classification of spinal injuries has evolved in the past decades to rely on a combination of fracture morphology as defined by diagnostic imaging in conjunction with the clinical presentation to stratify patients to determine optimal management. Radiologists need to be familiar with these classification systems, which rely heavily on imaging findings using CT and MRI, to accurately describe spinal injury.

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Accuracy and efficacy of fluoroscopy-guided pars interarticularis injections on immediate and short-term pain relief

Abstract: Over 92 % of fluoroscopically guided injections for symptomatic spondylolysis are technically successful with minimum fluoroscopic time, resulting in statistically significant pain reduction immediately post-injection and a trend in pain reduction 1-week post-injection.

Cited by 10 publications

References 25 publications

Outcomes of Various Treatment Modalities for Lumbar Spinal Ailments in Elite Athletes: A Literature Review

Outcomes of Various Treatment Modalities for Lumbar Spinal Ailments in Elite Athletes: A Literature Review

Image‐guided spinal injection for pain management

Spine Trauma

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