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KMID : 1189320210150020216
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Asian Spine Journal
2021 Volume.15 No. 2 p.216 ~ p.223
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Ultrasound-Guided Lumbar Spine Injection for Axial and Radicular Pain: A Single Institution Early Experience
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Tay Matthew
Sian Shauna Christine Sim Hwei
Eow Chen Zhi
Ho Kelvin Lor Kah
Ong Joo Haw
Sirisena Dinesh
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Abstract
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Study Design: Clinical audit via retrospective review of a database.
Purpose: To report an early experience using ultrasound-guided lumbar spinal injection for axial and radicular pain in an Asian multiethnic cohort.
Overview of Literature: Ultrasound-guided spine injection therapy is a comparatively new technique in the management of axial and radicular pain from degenerative lumbar spinal conditions, which may be a reasonable alternative to conventional fluoroscopic or computed tomography-guided injection.
Methods: A retrospective review was conducted, involving all patients who underwent ultrasound-guided lumbar spine injection therapy at a single institution over 1 year. Patients were evaluated by two interventionists, who then performed standardized ultrasound-guided lumbar facet joint and pararadicular spinal injections.
Results: There were 42 patients treated at our Sports Medicine Centre; with 27 patients (64.3%) receiving facet joint injections and 18 patients (42.9%) receiving nerve root injections. The majority (90.5%) of patients experienced an improvement of >30% in pain intensity at 3 months post-injection, using the Numerical Rating Scale pain score (p<0.001); with 40 patients (95.2%) reporting a reduction in Oswestry Disability Index score (p<0.001). No complications were reported.
Conclusions: Our initial experience confirms the safety, feasibility, and effectiveness of ultrasound-guided lumbar spinal injection for the treatment of axial and radicular pain in an Asian multiethnic cohort.
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KEYWORD
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Lumbosacral region, Back pain, Spinal injections, Ultrasonography
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