|
KMID : 1103720150730030172
|
|
Journal of the Korean Society of Radiology
2015 Volume.73 No. 3 p.172 ~ p.180
|
|
|
Fluoroscopy-Guided Intra-Articular Facet Joint Steroid Injection for the Management of Low Back Pain: Therapeutic Effectiveness and Arthrographic Pattern
|
|
Kim Su-Jin
Lee Joon-Woo
Chai Jee-Won
Lee Guen-Young
You Ja-Yeon
Kang Heung-Sik
Ahn Joong-Mo
|
|
|
Abstract
|
|
|
Purpose : To evaluate the effectiveness of fluoroscopy-guided intra-articular facet joint steroid injection for the management of low back pain, and to document the incidence of epidural leakage.
Materials and Methods : In total, 320 facet joint injections of 244 consecutive patients were included in this study. All patients had undergone an intra-articular facet joint steroid injection in 2007 and had follow-up post-treatment medical records. The response to treatment was analyzed on the basis of chart documentation (aggravated, no change, slightly improved, much improved, no pain). Fluoroscopic arthrograms of the injections were retrospectively analyzed by two radiologists.
Results : Of the 244 patients, 85.2% (n = 208) showed improvement after an initial intra-articular facet joint steroid injection. A total of 77.9% (n = 162) of the patients showed symptom recurrence, with a median of a 69 day symptom-free interval, while 30.3% (n = 74) of the patients showed symptom-free intervals of more than six months. Overall, 74 (33.3%) of the 222 cases of intra-articular facet joint steroid injections without concomitant epidural steroid injection showed epidural leakage in fluoroscopic arthrograms.
Conclusion : Fluoroscopy-guided intra-articular facet joint injection is a reliable technique for the management of low back pain, with excellent immediate effectiveness and good prolonged (> 2 months) pain relief. Epidural leakage during injection was detected in one-third of the cases.
|
|
|
KEYWORD
|
|
|
Low Back Pain, Facet Joint Injection, Epidural Leakage, Facet Joint Pain, Fluoroscopy-Guided Injection
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|
|