Lumbar facet joint injection: Feasibility as an alternative method in high-risk patients
- Authors
- Hwang, Su Yeon; Lee, Joon Woo; Lee, Geun Young; Kang, Heung Sik
- Issue Date
- Nov-2013
- Keywords
- Complication; Facet joint steroid injection; Fluoroscopy; Lumbar radiculopathy; Lumbar spinal stenosis
- Citation
- European Radiology, v.23, no.11, pp 3153 - 3160
- Pages
- 8
- Journal Title
- European Radiology
- Volume
- 23
- Number
- 11
- Start Page
- 3153
- End Page
- 3160
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/73635
- DOI
- 10.1007/s00330-013-2921-z
- ISSN
- 0938-7994
1432-1084
- Abstract
- Objective: To evaluate the effectiveness of therapeutic facet joint steroid injections for symptoms caused by lumbar spinal stenosis in patients who are at risk of bleeding. Methods: We analysed 134 patients who had previously undergone one-level bilateral facet joint steroid injections for lumbar radiculopathy caused by spinal stenosis from January 2011 to December 2012. All patients had a bleeding tendency due to several medical conditions. A retrospective chart review was conducted by one radiologist. Response was measured by using a five-point patient satisfaction scale. Evaluations of the relationship between possible outcome predictors were made using the chi-squared or Fisher's exact test, as appropriate. Results: Among the 42 enrolled patients (male/female = 14/28; mean age, 58 years; range, 41-88 years), 25 patients (59.5 %) were classified to have received effective treatment; in 17 patients treatment was classified as ineffective. Eighteen (72 %) of the 25 patients with mild-to-moderate central canal stenosis had symptom relief, and 7 of the 17 (41.2 %) patients with severe central canal stenosis had symptom relief (P < 0.05). Other outcome predictors were not statistically significant. Conclusion: Therapeutic facet joint steroid injection is potentially effective for lumbar radiculopathy caused by spinal stenosis. This could be helpful in patients at risk of bleeding. © 2013 European Society of Radiology.
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