Diagnostic and Therapeutic Features of Facet and Sacroiliac Joint Injection

Maldjian, Catherine; Mesgarzadeh, Mamed; Tehranzadeh, Jamshid

doi:10.1016/s0033-8389(05)70039-7

Cited by 59 publications

(28 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Lutze et al [23] found that periradicular injections had no significant influence on low back pain or pseudoradicular syndromes. Concerning sacroiliac joint pain, intra-articular anesthetic blocks are the diagnostic standard, and are superior to any provocation test [7,24,25]. Percutaneous facet joint injection is known to be a useful diagnostic procedure [22,25] and Dreyfuss et al [6] conclude that the "absolute diagnosis of lumbar zygapophysial joint-mediated pain is based on selective analgesic injections of these joints or their nerve supply.…”

Section: Discussionmentioning

confidence: 99%

Recurrent pain after lumbar discectomy: the diagnostic value of peridural scar on MRI

Vogelsang

Finkenstaedt

Vogelsang

et al. 1999

European Spine Journal

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Recurrent pain after lumbar discectomy: the diagnostic value of peridural scar on MRI

Vogelsang

Finkenstaedt

Vogelsang

et al. 1999

European Spine Journal

View full text Add to dashboard Cite

“…The therapeutic effects of MBB and facet block are thought to be similar 11,15,16,19,21) because facet pain is believed to originate from the dorsal rami which innervate the joint capsule. 4,14) In our study, 70.3% of the patients (242/ 344) had pain relief in varying degrees (pain relief >25%) at 3 months after DRB. Better results may be attributed to developed imaging studies and better patient selection.…”

Section: )mentioning

confidence: 54%

“…The fundamental composition of these agents consists of a benzene ring linked to a piperidine group by an intervening amide group. 14) Contraindication of using a bupivacaine include hypersensitivity to this drug or related compounds. Systemic absorption varies by mode of administration and dosage.…”

Section: )mentioning

confidence: 99%

See 1 more Smart Citation

Lumbar Dorsal Ramus Block for Low Back Pain

Kim

Park

Nam

et al. 2007

J Korean Neurotraumatol Soc

View full text Add to dashboard Cite

Objective: The goal of this study was to establish the benefits and prognostic factors of lumbar dorsal ramus block (DRB) for low back pain. Methods: A retrospective analysis was done with the data obtained from 344 patients with low back pain. The lumbar dorsal rami of L3, 4, 5 were blocked with 0.5% bupivacaine hydrochloride and methylprednisolone acetate. Visual analogue scale (VAS) was evaluated at 2 weeks, 1 month and 3 months and compared with pretreatment values. It was considered to be successful when the VAS grade at 3 months was improved more than 50%. Results: The patients had underlying disorders like as sprain (172), spinal stenosis (67), lumbar fracture (36), herniated lumbar disc (35), acute post-operative pain (8), and chronic post-operative pain (26) with success rate of 62.8%, 22.4%, 58.3%, 22.9%, 87.5%, and 34.6%, respectively. Conclusion: In sprain, the patients in young age (<60 years) and without leg pain showed good response to DRB. (J Kor Neurotraumatol Soc 2007; 3:82-86) KEY WORDS: Low back pain·Lumbar dorsal ramus block·Prognostic factor.

show abstract

“…An increasing success rate with regard to the correct positioning of the needle starting from 60% at the first 30 injections and improving to 93.5% with the last 30 injections has been demonstrated, but the therapeutic efficacy or clinical outcome of this intervention has not been evaluated. [40] Maldjian et al [41] reported that image-guided injection of steroid compounds into the SIJ could give beneficial and long-lasting results. This is comparable to our previous experience and the data determined from the present study.…”

Section: Clinical Outcomesmentioning

confidence: 99%

An Intraarticular Sacroiliac Steroid Injection Under the Guidance of Computed Tomography for Relieving Sacroiliac Joint Pain: A Clinical Outcome Study with Two Years of Follow-Up

et al. 2012

View full text Add to dashboard Cite

Amaç: Bu çalışmada, iki yıllık takip dönemi süresince bilgisayarlı tomografi (BT) eşliğinde gerçekleştirilen eklem içi steroid ve lokal anestetik enjeksiyonun, sakroiliyak eklem (SİE) ağrısının tedavisindeki etkinliği değerlendirildi. Hastalar ve yöntemler:Ocak 2009 -Aralık 2011 tarihleri arasında SİE ağrısı olan ve BT eşliğinde eklem içi steroid ve lokal anestetik enjeksiyonu yapılması planlanan toplam 46 hasta (18 erkek, 28 kadın; ort. yaş 52.7 yıl; dağılım 41-65 yıl) çalışmaya dahil edildi. Uygun hazırlık sonrası, 80 mg triamsinolon asetonid ve 4 cc bupivakain hidroklorür karışımı BT eşliğinde enjekte edildi. Enjeksiyon öncesi ve sonrası ağrının derecesi görsel analog skalası (GAS) kullanılarak değerlendirildi. Klinik takip enjeksiyon sonrası ilk gün, ilk hafta, üçüncü hafta, altıncı ay ve son kontrol olarak gerçekleştirildi. Enjeksiyon öncesi ve sonrası GAS skorları arasındaki fark istatistiksel olarak değerlendirildi. Bulgular:Ortalama takip süresi 26.7 ay (dağılım 24-36 ay) idi. Kırk altı hastadan sekizine (%17.4) ikinci enjeksiyon gereksinimi oldu. Bunların beşinde (%10.8) eklem içi kortizon enjeksiyonu sonrası takipte, ağrılarda gerileme olmadığı görüldü. Sakroiliyak eklem enjeksiyonun genel başarı yüzdesi %89.2 idi. Enjeksiyon sonrası ilk gün, ilk hafta, üçüncü hafta ve altıncı ayda kaydedilen tüm GAS skorları, enjeksiyon öncesine kıyasla anlamlı düzeyde düşük bulundu. Bu yanıt, en az iki yıllık takip sonucunda da ortanca 20.5 GAS (min-max: 0-87) ile anlamlı şekilde kalmaya devam etti.Sonuç: Bilgisayarlı tomografi eşliğinde SİE enjeksiyonları, aktif SİE patolojileri nedeni ile ağrı duyan hastalarda yeterli bir tedavi yöntemidir. Bu yöntem güvenilir ve etkilidir ve uzun dönemli SİE ağrısı olan hastalarda tedavi alternatifi olarak tercih edilebilir.Anahtar sözcükler: Bilgisayarlı tomografi; enjeksiyon; ağrı; sakroiliyak. Objectives:The aim of this study was to analyze the effectiveness of an injection of a computed tomography (CT)-guided intraarticular steroid and a local anesthetic for the treatment of sacroiliac joint (SIJ) pain over a two-year follow-up period. Patients and methods:Between January 2009 and December 2011, a total of 46 patients (18 males, 28 females; mean age 52.7 years; range 41 to 65 years) with SIJ pain who were scheduled to undergo an injection with a CT-guided intraarticular steroid and a local anesthetic were included. After properly prepared, the mixture of triamcinolone acetonide 80 mg and bupivacaine hydrochloride 4 cc was injected under CT guidance. The pain was evaluated using the visual analog scale (VAS) before and after the injection. The clinical follow-up was performed the day after the injection as well as at one week, three weeks, and six months and in the last visit. The differences between the VAS scores before and after the injections were analyzed statistically. Results:The mean follow-up was 26.7 months (range 24 to 36 months). Eight out of 46 patients (17.4%) needed a second injection. Five of them (10.8%) failed to show improvement during the follow-up after the...

show abstract

Diagnostic and Therapeutic Features of Facet and Sacroiliac Joint Injection

Cited by 59 publications

References 30 publications

Recurrent pain after lumbar discectomy: the diagnostic value of peridural scar on MRI

Recurrent pain after lumbar discectomy: the diagnostic value of peridural scar on MRI

Lumbar Dorsal Ramus Block for Low Back Pain

An Intraarticular Sacroiliac Steroid Injection Under the Guidance of Computed Tomography for Relieving Sacroiliac Joint Pain: A Clinical Outcome Study with Two Years of Follow-Up

Contact Info

Product

Resources

About