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KMID : 0388720180250040185
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Journal of Korean Society of Spine Surgery
2018 Volume.25 No. 4 p.185 ~ p.195
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Ultrasound-Guided Injections in the Lumbar and Sacral Spine
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Ko Kwang-Pyo
Song Jae-Hwang
Kim Whoan-Jeang
Kim Sang-Bum
Min Young-Ki
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Abstract
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Study Design: Literature review.
Objective: Ultrasound-guided injections are a common clinical treatment for lower lumbosacral pain that are usually performed before surgical treatment if conservative treatment fails. The aim of this article was to review ultrasound-guided injections in the lumbar and sacral spine.
Summary of Literature Review: Ultrasound-guided injections, unlike conventional interventions using computed tomography or C-arm fluoroscopy, can be performed under simultaneous observation of muscles, ligaments, vessels, and nerves. Additionally, they have no radiation exposure and do not require a large space for the installation of equipment, so they are increasingly selected as an alternative method.
Materials and Methods: We searched for and reviewed studies related to the use of ultrasound-guided injections in the lumbar and sacral spine.
Results: In order to perform accurate ultrasound-guided injections, it is necessary to understand the patient's posture during the intervention, the relevant anatomy, and normal and abnormal ultrasonographic findings. Facet joint intra-articular injections, medial branch block, epidural block, selective nerve root block, and sacroiliac joint injections can be effectively performed under ultrasound guidance.
Conclusions: Ultrasound-guided injections in the lumbar and sacral spine are an efficient method for treating lumbosacral pain.
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KEYWORD
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Lumbar, Sacral, Ultrasound-guided Injection
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