Fluoroscopically guided lumbar facet joint injection using an interlaminar approach and loss of resistance technique

2016 ◽  
Vol 45 (5) ◽  
pp. 671-676 ◽  
Author(s):  
Ambrose J. Huang
Keyword(s):  
Facet Joint ◽  
Joint Injection ◽  
Lumbar Facet Joint ◽  
Facet Joint Injection ◽  
Loss Of Resistance ◽  
Interlaminar Approach ◽  
Lumbar Facet

Incidence and pattern of epidural spread during lumbar facet joint injection: a prospective study

2019 ◽  
Vol 61 (5) ◽  
pp. 636-643
Author(s):  
Bo Reum Yoo ◽  
Eugene Lee ◽  
Joon Woo Lee ◽  
Yusuhn Kang ◽  
Joong Mo Ahn ◽  
...  
Keyword(s):  
Prospective Study ◽  
Facet Joint ◽  
Contrast Material ◽  
Joint Injection ◽  
Lumbar Facet Joint ◽  
Facet Joint Injection ◽  
Exact Test ◽  
Interlaminar Approach ◽  
Contrast Pattern ◽  
Lumbar Facet

Background In clinical practice, we have often observed contrast material spreading into the epidural space during lumbar facet joint injection. However, the exact incidence of epidural spread and contrast pattern have not been reported. Purpose To evaluate the incidence and pattern of epidural spread in lumbar facet joint injection. Material and Methods One hundred consecutive patients (38 men, 62 women; mean age 68 years; age range 20–88 years) who underwent lumbar facet joint injection at two sites between April 2014 and June 2014 were investigated in this prospective study. Initial oblique, final anteroposterior, and lateral fluoroscopic images were obtained and evaluated for the presence of epidural spread and its contrast pattern (based on direction and extent) with the consensus of three radiologists. The relationship between epidural spread and its potential predictors was analyzed using the chi-squared test, Fisher’s exact test, and the t-test. Results The incidence of epidural spread during lumbar facet joint injection was 64.6% (n=64) in 99 patients and 49.5% (n=95) in 192 procedures; ventral spread occurred in 29.2% and foraminal spread in 18.8%. When epidural spread occurred, the most commonly identified distributions were unilateral (73.7%), dorsal (92.6%), and cephalad (92.6%). Epidural spread increased significantly in the caudocephalic direction ( P < 0.0001), in men (relative risk [RR]=1.478), in the adjacency of posterior fusion level (RR=1.545), in patients with spondylolisthesis (RR=1.454), and when there was no other leakage (RR=0.334). Conclusion Epidural spread occurred at about half the number of lumbar facet joint injections and showed a contrast pattern similar to that seen with the interlaminar approach.

Mechanism of Pain Relief in Lumbar Facet Joint Injection

2008 ◽  
Vol 33 (Sup 1) ◽  
pp. e195
Author(s):  
A. Sayadipour ◽  
S. Alemo ◽  
K. Alemo
Keyword(s):  
Pain Relief ◽  
Facet Joint ◽  
Joint Injection ◽  
Lumbar Facet Joint ◽  
Facet Joint Injection ◽  
Lumbar Facet

The oblique needle technique in lumbar facet joint injection

2001 ◽  
Vol 40 (3) ◽  
pp. 240-243 ◽  
Author(s):  
Ioannis D Agorastides ◽  
Naresh Kumar
Keyword(s):  
Facet Joint ◽  
Joint Injection ◽  
Lumbar Facet Joint ◽  
Facet Joint Injection ◽  
Needle Technique ◽  
Lumbar Facet

scholarly journals Lumbar facet joint injection in treating low back pain: Radiofrequency denervation versus SHAM procedure. Systematic review

2018 ◽  
Vol 15 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Munnan Al-Najjim ◽  
Rohi Shah ◽  
Mahmoud Rahuma ◽  
Omar Abdul Gabbar
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Facet Joint ◽  
Low Back ◽  
Joint Injection ◽  
Lumbar Facet Joint ◽  
Facet Joint Injection ◽  
Radiofrequency Denervation ◽  
Lumbar Facet

scholarly journals Psoas Abscess After Lumbar Facet Joint Injection: Case Report and Literature Review

Cureus ◽  
2020 ◽  
Author(s):  
Matheus F. M Ballestero ◽  
Vinícius Carneiro ◽  
Jose Paulo Luz Lima ◽  
Ricardo Santos de Oliveira
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Facet Joint ◽  
Psoas Abscess ◽  
Joint Injection ◽  
Lumbar Facet Joint ◽  
Facet Joint Injection ◽  
Lumbar Facet

scholarly journals Facet Joint Injection versus Radiofrequency Facet Neurotomy for Treatment of Lumbar Facet Joint Arthropathy

2018 ◽  
Vol 28 (1) ◽  
pp. 25-31
Author(s):  
Ahmed Toubar ◽  
Osama Dawood
Keyword(s):  
Facet Joint ◽  
Joint Injection ◽  
Lumbar Facet Joint ◽  
Facet Joint Injection ◽  
Lumbar Facet
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