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Lumbar Nerve Root Blocks Using MRI – The Effectiveness And Safety Of Ultrasound/MRI Fusion Image Guidance London Spine

The London Spine Unit : most advanced day surgery hospital on Harley Street UK

Published article

Ultrasound/MRI fusion imaging with needle tracking is an effective alternative to fluoroscopic image-guided injection.Lumbar Disc Replacement Expert. Best Spinal Surgeon UK

Abstract

Objective: To compare the outcome of nerve root injection guided by ultrasound/MRI fusion with radiofrequency needle tracking (eTRAX©) and the same procedure undertaken by fluoroscopic guidance.

Methods: This is a retrospective audit of anonymised clinical records from before and after a change in the imaging technique used to perform nerve root blocks.We studied 181 consecutive patients who had undergone a nerve root block, the first 124 guided by fluoroscopic technique and the next 57 guided by ultrasound/MRI fusion with radiofrequency needle guidance.Using pain diaries, we reviewed the outcome scores at 24 h and 2 weeks. We recorded the use of analgesia, the patient’s satisfaction, complications and the duration of the procedures.

Results: Completed pain diaries were returned by 61% in the fluoroscopy group and 67% in the fusion imaging group.The visual analogue pain score was reduced at 24 h by 3.29 for the fluoroscopy group and by 3.69 (SD 2.58) in the fusion group (p 0.399).At two weeks the pain reduction was 3.27 (SD 2.57) for the fluoroscopic group and 4.21 (SD 2.95) for the fusion group (p 0.083). There was no statistically significant difference between the groups.The patient’s satisfaction scores were similar for both groups.The procedure by the two guidance methods took a similar time to perform.There were no serious complications in either group. One patient in the fusion-guided nerve root block group experienced paraesthesia in the nerve distribution for 2 h.

Ultrasound/MRI fusion imaging with needle tracking is an effective alternative to fluoroscopic image-guided injection.

Advances in knowledge: Fusion imaging guidance provides the same outcome as fluoroscopic guidance.Fusion imaging guidance avoids the need for ionising radiation.

The London Spine Unit : most advanced day surgery hospital on Harley Street UK

Read the original publication from Pubmed :

Lumbar nerve root blocks using MRI – the effectiveness and safety of ultrasound/MRI fusion image guidance

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shahnaz Choudhury
shahnaz Choudhury
2022-04-22
I had a massive bulging disk on my back… I had a massive bulging disk on my back compressing my nerve for three years. It caused me excruciating pain and almost left me disabled. I was on both crutches and completely homebound due to the severity of pain and mobility limitations. I had my lumber surgery two weeks ago and walked out of hospital within a few hours pain free on my right leg that was almost paralysing prior to surgery. The disk was shaved off releasing the nerve completely. Two days after surgery I had excruciating pain on my head that is unexplained as I had CT scan and MRI which were all fine. Dr Akmal has suggested it could be from the anaesthetic. I am extremely grateful to Dr Akmal and his very welcoming and cari g team. I would highly recommend his clinic as I have had excellent recovery.
MR HARVEY
MR HARVEY
2022-04-02
Thank you Mr Aklam After having a poor and very slow experiance in glasgow . I contacted Mr mo Amlam . Who is a true gentleman, great listener and paitent . We transfered my scans and treatments from glasgow to harley street . Mr Aklams p.a arranged a quick zoom to start our contact .I then went down for a meeting and examination and what should have been a spec scan .only to be told of a UK shortage . So 4 weeks later the scan took place in wellington hospital . Before I traveled back to glasgow. 5 days later I got a call to book me in to 19 harley street for a l3 and l4 debridement and stabilisation. The opp took place on 24th March. 2hours I was out walking 4 hours later . My pain in back groin and foot was all gone .thanks to Mr aklam . Top of his craft but more importantly pouts his patients first .he really wants to help you get better. Thank you so much Mr Robert harvey
Ken Carswell
Ken Carswell
2022-03-22
Amazing service and an amazing treatment! I can't thank Mr Akmal and team at the London Spine Unit enough for their help. I had a herniated disc in my back which was causing pain and restrictions. Compared to other offers of surgery (e.g. several nights in hospital), the day surgery and minimally invasive procedure were hugely appealing. I am now 3 weeks post surgery, have no pain and am recovering incredibly quickly if I compare myself to friends who have had a similar procedure. it was truly remarkable, straightforward and the team were kind, friendly and always helpful. very highly recommended!
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2022-03-17
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Jonathan Scott-Barrett
Jonathan Scott-Barrett
2022-02-09
Back and nerve pain From diagnosis to treatment and post operational care, the London Spine Unit were very courteous, caring, efficient and generally first class in all departments of their clinic. My ailments pre operation have been successfully eradicated and I no longer suffer from back and nerve pain. I can also walk without stooping. I would not hesitate to recommend anyone with back problems to seek their advice and treatment if required. 9th February 2022
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2022-01-15
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thomas may
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2022-01-06
In early 2021 my back pain which had… In early 2021 my back pain which had long troubled me became acute and it became clear that I urgently needed help .A friend whose father had been similarly afflicted recommended Mo Akmal of the London Spine unit to help me . After a 'phone consultation he immediately summoned me to London for an MRI which resulted in immediate surgery . His very professional team which included a very able assistant , Dr. Lok , operated and in short order , having been crippled ,in great pain and almost unable to walk , I emerged from the procedure pain free . I am aware that this was a very intricate and delicate procedure which had been fully explained to me from the outset. Full supervised recovery took place over the ensuing six months and I am now very physically active and able to take part in all the things that had been previously impossible.
Jag Sandhu
Jag Sandhu
2022-01-05
Spinal fractures and balloon kyphoplasty procedure Due to oesterprosis last year I ended up with 8 spinal fractures, as the NHS failed to investigate my back pain, I had no choice but to refer myself to a private consultation at the Harley St spinal Clinic. I was under Dr Mo Akmal who arranged Mris and from here he found out I had 8 fractures, he suggested a procedure called balloon kyphoplasty, this was done in October 2021. The procedure itself went well and the care Harley st and Dr Akmals team gave me was exceptionall. Dr Akmal is one of the best surgeon s we read his reviews on Trust pilot before we made the initial appointment, he is a very kind and caring person who is professional as well as genuinely caring about you and your health problems. Its 3 months after my surgery and I am not taking any painkillers, I still have a little way to go as healing can take a few months but I'm hopeful my back will be back to as normal as it can be.. I am still under review under Dr Akmal so this gives me reassurance that until I'm not fully fixed he will be looking after me.

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Abstract Objective: To compare the outcome of nerve root injection guided by ultrasound/MRI fusion with radiofrequency needle tracking (eTRAX©) and the same procedure undertaken by fluoroscopic guidance. Methods: This is a retrospective audit of anonymised clinical records from before and after a change in the imaging technique used to perform nerve root blocks.We studied 181…

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