Ultrasound-Guided Versus Computed Tomography-Controlled Facet Joint Injections in the Lumbar Spine: A Prospective Randomized Clinical Trial

Galiano, Klaus; Obwegeser, Alois Albert; Walch, Claudia; Schatzer, Reinhold; Ploner, Franz; Gruber, Hannes

doi:10.1016/j.rapm.2007.03.010

Cited by 74 publications

(94 citation statements)

References 23 publications

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“…[7][8][9][10] US guidance for spinal injection is a recent development but, according to the literature, seems promising. [11][12][13][14][15][16][17][18][19][20] US has proved sufficiently reliable and accurate in the demonstration of lumbar paravertebral anatomy, [11][12][13][14]21 and the feasibility of US-guided injection therapy at the spine has also been demonstrated in several studies. [11][12][13][14][15][16][17][18][19][20] Although US is considered reliable for different injection procedures of the lumbar spine, [11][12][13][14] some disadvantages of the currently proposed methods-particularly in the upper lumbar spine-have been discussed.…”

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confidence: 99%

A New Simplified Sonographic Approach for Pararadicular Injections in the Lumbar Spine: A CT-Controlled Cadaver Study

Loizides¹,

Gruber²,

Peer³

et al. 2011

AJNR Am J Neuroradiol

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BACKGROUND AND PURPOSE:Injection therapies play a major role in the treatment of lower back pain and are to date performed mainly under CT or fluoroscopic guidance. The benefits of US-guided instillation procedures have been shown in many studies. We conducted this study to simplify an US-guided approach to the lumbar spinal nerves and to assess the feasibility and preliminary accuracy by means of CT and anatomic dissection.

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confidence: 99%

A New Simplified Sonographic Approach for Pararadicular Injections in the Lumbar Spine: A CT-Controlled Cadaver Study

Loizides¹,

Gruber²,

Peer³

et al. 2011

AJNR Am J Neuroradiol

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“…According to recent studies ultrasound is superior to either fluoroscopy or computed tomography for intra-articular injection guidance (GALIANO et al, 2007;COUSTY et al, 2011). However, to the authors' knowledge no data concerning the use of ultrasound for location of ALs in motion analysis have been published to date.…”

Section: Discussionmentioning

confidence: 99%

“…In horses ultrasound-guided techniques for intra-synovial injection proved to be reliable and more accurate than conventional "blind" techniques (SCHNEEWEISS; PUGGIONI; DAVID, 2012). In humans and horses ultrasound-guided injection techniques are preferable to injections guided by fluoroscopy or computed tomography due to lower duration of the procedure and exposure to radiation (GALIANO et al, 2007;COUSTY et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Ultrasonography as an ancillary method for the positioning of markers in equine motion analysis

Gomes¹,

Hagen²,

Barros³

et al. 2014

Braz. J. Vet. Res. Anim. Sci.

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Kinematic motion analysis is based on the reconstruction of selected bony anatomical landmarks identified by surface markers. Anatomical landmarks generally do not correspond to points but rather to relatively large and curved areas and their identification by palpation is not easy. Precise placement of surface markers is even more difficult and there is great variability between operators. In this study 16 examiners were asked to identify the lateral border of the left ischial tuberosity in a horse using palpation and ultrasonography for placement of a corresponding skin surface marker. Images of each marking procedure were captured using two video cameras and processed using the DVideow videogrammetry. A custom-written Matlab code was used to determine the position of the respective vectors. The positions of the markers were then compared to assess inter-examiner variability and the precision of the methods employed using the Bartlett test and the paired t-test respectively. Ultrasonography significantly improved the location of the anatomical landmark by each examiner (p = 0.04) and reduced the variability in the position of the surface marker when compared to palpation (p = 0.0028). The variability of the calculated distances (mean ± SD) was 2.89 ± 2.24 cm and 1.63 ± 0.98 cm using palpation and ultrasonography respectively. Ultrasound guidance reduced inter-examiner variability and allowed visualization of the corresponding bony anatomical landmark.Keywords: Anatomical landmarks. Horse. Kinematic analysis. Locomotion. Ultrasound. ResumoA análise cinemática do movimento é baseada na reconstrução de pontos anatômicos específicos identificados por marcadores de superfície. Esses pontos de referência geralmente não correspondem a pontos, mas a áreas relativamente grandes e curvas de difícil identificação pela palpação. A colocação precisa dos marcadores de superfície é ainda mais difícil e há grande variabilidade entre examinadores. Neste estudo, 16 examinadores foram submetidos à identificação da borda lateral da tuberosidade isquiática esquerda de um cavalo usando a palpação e a ultrassonografia para colocar um marcador de superfície. Imagens de cada procedimento de marcação foram adquiridas utilizando-se duas câmeras de vídeo digital e processadas através o sistema de videogrametria DVideow. O software Matlab foi usado para determinar a posição dos respectivos vetores. As posições dos marcadores foram comparadas para avaliar a variabilidade entre os examinadores e a precisão do método empregado através do teste de Bartlett e teste t pareado, respectivamente. A ultrassonografia melhorou significativamente a localização dos pontos anatômicos de cada examinador (p = 0,04) e reduziu a variabilidade no posicionamento dos marcadores de superfície quando comparada à palpação (p = 0,0028). A variabilidade das distâncias calculadas (média ± dp) foi de 2,89 ± 2,24 cm e 1,63 ± 0,98 cm usando a palpação e a ultrassonografia, respectivamente. A ultrassonografia reduziu a variabilidade entre examinadores e permitiu...

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“…[28] In another prospective randomized study involving 40 patients, US guided lumbar facet joint injection was compared to a group in which injection was made with tomography, and US group was determined to be more favorable regarding radiation exposure and procedure time, and no difference was found with regard to pain palliation. [29] During US guided facet joint injection, target vertebra level is determined by longitudinal scanning in the first place. Next, injection is performed after visualization of the space between facet joints which is between superior and inferior articular processes of lumbar vertebrae, by transverse imaging (Figure 3).…”

Section: Thoracic Regionmentioning

confidence: 99%

Ultrasound guided chronic pain interventions (Part II)

AKKAYA¹

2016

Agri

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SummaryHenceforth, ultrasonography (US) is an indispensible imaging technique in regional anesthesia practice. With the guidance of US, various invasive interventions in chronic pain pathologies of the musculoskeletal system, peripheral and neuroaxial pathologies has become possible. The management includes diagnostic blocks as weel as radiofrequency ablation and institution of neurolythic agents. During these algologic interventions we are able to see the target tissue, the dispersion of the drug and all nearby vascular structures. Besides these the US also protects the team from ionic radiation that one encounters when using flouroscopy of computed tomography. Latest publication in this field show that applicability of US in chronic pain syndromes is rapidly expanding with a good future. The additional equipment (echogenic needles, 3-D US etc.) will also expands its applications in algology practice. This review highlights different applications of US in chronic pain conditions.

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Ultrasound-Guided Versus Computed Tomography-Controlled Facet Joint Injections in the Lumbar Spine: A Prospective Randomized Clinical Trial

Abstract: 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.

Cited by 74 publications

References 23 publications

A New Simplified Sonographic Approach for Pararadicular Injections in the Lumbar Spine: A CT-Controlled Cadaver Study

A New Simplified Sonographic Approach for Pararadicular Injections in the Lumbar Spine: A CT-Controlled Cadaver Study

Ultrasonography as an ancillary method for the positioning of markers in equine motion analysis

Ultrasound guided chronic pain interventions (Part II)

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