Value of CT fluoroscopy for lumbar facet blocks.

نویسندگان

  • Sherif Meleka
  • Ajanta Patra
  • Evan Minkoff
  • Kieran Murphy
چکیده

We compared the diagnostic accuracy of lumbar facet blocks guided by either conventional fluoroscopy or CT fluoroscopy (CTF). Seventy-one blocks were performed with conventional fluoroscopy, and 58 were performed using CTF. Pain scores were measured before and after the procedure. The CTF group had a greater percentage decrease in pain (79.5% +/- 31.1%) than did the conventional fluoroscopy group (55.5% +/- 38.0%; P < .0005). We conclude lumbar facet blocks by using CTF guidance results in greater diagnostic accuracy than do conventional fluoroscopy.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Selective lumbar nerve root blocks with CT fluoroscopic guidance: technique, results, procedure time, and radiation dose.

CT fluoroscopy may be used as a rapid and effective means of guiding needle placement when performing selective lumbar nerve root blocks. In this set of patients, the average external radiation dose was 0.73 mrem per procedure, with an average of 2 seconds of CT-fluoroscopy time and four images per procedure. Average physician room time was 7 minutes. Use of intermittent CT fluoroscopy during l...

متن کامل

Effectiveness of Ultrasound-Guided Versus Fluoroscopy or Computed Tomography Scanning Guidance in Lumbar Facet Joint Injections in Adults With Facet Joint Syndrome: A Meta-Analysis of Controlled Trials.

OBJECTIVE To review the literature and assess the comparative effectiveness of ultrasound-guided (USG) versus computed tomography (CT)-/fluoroscopy-guided lumbar facet joint injections in adults. DATA SOURCES PubMed, Ovid MEDLINE, Ovid Embase, EBSCO, and Web of Science. STUDY SELECTION Randomized or nonrandomized controlled trials comparing the clinical effectiveness between USG and CT-/flu...

متن کامل

Robotically assisted nerve and facet blocks: a cadaveric study.

RATIONALE AND OBJECTIVES This study was performed to evaluate the feasibility of using a joystick-controlled robotic needle driver to place a 22-gauge needle for nerve and facet blocks. MATERIALS AND METHODS Biplane fluoroscopy and a robotic needle driver were used to place 12 needles into the lumbar paraspinal region of an embalmed female cadaver (age at death, 98 years). Small metal BB nipp...

متن کامل

Comparison of Ultrasonography- and Fluoroscopy-Guided Facet Joint Block in the Lumbar Spine

STUDY DESIGN Retrospective study. PURPOSE Facet joint block is performed for diagnostic or therapeutic purposes and generally carried out under computerd tomography (CT) or radiologic fluoroscopy guidance. Ultrasonography-guided facet block has recently been attempted. So, we compared the results of ultrasonography-guided facet joint block with the results of fluoroscopy-guided facet joint bl...

متن کامل

Ultrasound versus fluoroscopy-guided medial branch block for the treatment of lower lumbar facet joint pain

The aim of this study was to compare the mid-term effects and benefits of ultrasound (US)-guided and fluoroscopy (FL)-guided medial branch blocks (MBBs) for chronic lower lumbar facet joint pain through pain relief, functional improvement, and injection efficiency evaluation.Patients with chronic lumbar facet joint pain who received US (n = 68) or FL-guided MBBs (n = 78) were included in this r...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • AJNR. American journal of neuroradiology

دوره 26 5  شماره 

صفحات  -

تاریخ انتشار 2005