Facet joint injection versus epidural steroid injection for lumbar spinal stenosis: intra-individual study.
Clin Radiol
; 72(1): 96.e7-96.e14, 2017 Jan.
Article
em En
| MEDLINE
| ID: mdl-27639917
ABSTRACT
AIM:
To evaluate the efficacy of facet joint injection (FJI) for patients with lumbar central canal stenosis (LCS) in comparison with epidural steroid injection (ESI) in the same individuals. MATERIAL ANDMETHODS:
Two hundred and fifty-two patients who underwent both FJI and ESI for LCS between January 2014 and December 2014 were considered for enrolment in the study. A radiologist retrospectively conducted a chart review and recorded which injection was chosen as the third injection after sequential injections of FJI and ESI, and why clinicians chose the particular injection method. The response was measured via the use of a five-point satisfaction scale.RESULTS:
Among 252 patients, only 73 patients were included in the study (the remaining patients did not fulfil the inclusion criteria). Out of 73 patients (mean age, 69.7 years; range, 49â¼87 years), 50 patients had received a third injection, 33 patients (66%) underwent FJIs as a third injection. Out of 19 patients who had experienced an ineffective first ESI, 13 (68.4%) patients reported the second FJI as effective. Out of six patients for whom the first FJI had been ineffective, three (50%) patients reported the second ESI as effective.CONCLUSION:
FJIs can be administered as an alternative to ESIs in cases of LCS.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Estenose Espinal
/
Esteroides
/
Injeções Epidurais
/
Dor Lombar
/
Articulação Zigapofisária
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
/
Pregnancy
Idioma:
En
Revista:
Clin Radiol
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Coréia do Sul