19 Harley St, London, W1G 9QJ, UK

Ultrasound-guided versus computed tomography-controlled facet joint injections in the lumbar spine: a prospective randomized clinical trial

BACKGROUND AND OBJECTIVES: Facet joint injections are widely used for alleviation of back pain. Injections are preferentially performed as fluoroscopy or computed tomography (CT)-controlled interventions. Ultrasound provides real-time monitoring, does not produce ionizing radiation, and is broadly available. METHODS: We studied feasibility, accuracy, time-savings, radiation doses, and pain relief of ultrasound-guided facet joint injections versus CT-controlled interventions in a prospective randomized clinical trial. Forty adult patients with chronic low back pain were consecutively enrolled and evenly assigned to an ultrasound or a CT- group. RESULTS: Eighteen subjects from the group randomized to ultrasound were judged to be feasible for this type of approach. In 16 of them the facet joints were clearly visible and all of the associated facet joint injections were performed correctly. The duration of procedure and radiation dose was 14.3 +/- 6.6 minutes and 14.2 +/- 11.7 mGy.cm in the ultrasound group, and 22.3 +/- 6.3 minutes and 364.4 +/- 213.7 mGy.cm in the CT group. Both groups showed a benefit from facet joint injections. CONCLUSIONS: The ultrasound approach to the facet joints in the lumbar spine is feasible with minimal risks in a large majority of patients and results in a significant reduction of procedure duration and radiation dose

Keywords : Adult,Back Pain,diagnostic imaging,Feasibility Studies,Female,Fluoroscopy,Humans,Injections,Intra-Articular,Injections,Spinal,Low Back Pain,Lumbar Vertebrae,Male,methods,Middle Aged,Pain,Prospective Studies,Radiography,Interventional,Spine,Tomography,X-Ray Computed,Ultrasonography,Interventional,Zygapophyseal Joint,, Versus,Computed,Tomographycontrolled,Facet,Joint, greater occipital nerve block technique

Date of Publication : 2007 Jul

Authors : Galiano K;Obwegeser AA;Walch C;Schatzer R;Ploner F;Gruber H;

Organisation : Clinic of Neurosurgery, Innsbruck Medical University, Innsbruck, Austria. klaus.galiano@i-med.ac.at

Journal of Publication : Reg Anesth Pain Med

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/17720116

The London Spine Unit : Harley Street UK. Specialists in Cutting Edge Technologies for Spinal Surgery

Make an Appointment 

Trustpilot Reviews
Doctify Reviews
Top Doctor Reviews

Ultrasound-guided versus computed tomography-controlled facet joint injections in the lumbar spine a prospective randomized clinical trial | Cervical and Lumbar Disc Replacement Surgery in NJ | Spine Specialist

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810