FACET BLOCKAGE FOR MECHANICAL LOWER BACK PAIN
Journal Title: Journal of Turkish Spinal Surgery - Year 2014, Vol 25, Issue 2
Abstract
Background data: Nearly 85% of all individuals are reported to have experienced lower back pain by the age of 50. The prevalence of lower back pain increases starting from the second decade, and reaches the highest level between the ages of 55–64. The large majority (97%) of lower back pain is mechanical in nature. Purpose: To demonstrate the effectiveness of lumbar facet blockage for mechanical back pain (MBP). Material and methods: Patients were laid in a prone position on the fluoroscopy table. A 22-G spinal needle was used to administer 10 mg prilocaine, 5 mg bupivacaine and 10 mg methylprednisolone acetate to all four of the L4–5 and L5–S1 facet joints with the aid of fluoroscopic AP and lateral visualization. The patients were discharged after a short waiting period of 20 minutes. Rest was not recommended for the patients. The patients were evaluated with the Modified Oswestry Low Back Pain Disability Questionnaire and the Visual Analogue Scale. For all patients, the questionnaire and scale values were recorded prior to surgery, and on the postoperative first day, tenth day, first month, and sixth month. Results: After intervention, the VAS and OD scores were recorded to be significantly lower than in the preoperative period. The patients had no need to rest after the procedure. Conclusion: Facet joint blockage has significant advantages, including statistically significant good early period results, greater reduction of pain during the follow-up period, and easy applicability of the procedure.
Authors and Affiliations
Mehmet SORAR, Uygur ER, Ersin ÖZEREN, Orhan ALTAY
Keywords
Related Articles
- EP ID EP676795
- DOI -
- Views 107
- Downloads 0
CORRECTION OF CONGENITAL KYPHOSIS USING PEDICLE SUBTRACTION OSTEOTOMY
Summary: Seventeen patients with congenital kyphosis underwent correction using a pedicle subtraction osteotomy. Background: These were 11 females and 6 males. The mean age at the time of surgery was 18.4 years. Two...
SUBAXIAL DEF0RMITIES OF THE CERVICAL SPİNE
Several deformities of the cervical spine causes disability. These include a variety of degenerative, inflammatory, infectious, neoplastic, coogenital, and traumatic diseases. The choice of treatment dictates a full know...
DESMOPRESSIN İN SCOLIOSIS SURGERY
Reconstructive spinal surgery in scoliotic patients is knovvn to be associated with excessive blood loss. Effects of Desmopressin (1 -deamino-8-D-arginin vasopressin) on blood loss and urinary output in patients un-dergo...
PULL-OUT STRENGTH OF OCCIPITAL SCREWS
Several disorders lead to craniovertebral junction instability, and require an occipitocervical fixation. İn cases in which screw is the choice of fixation, the types and places of the screws may affect the pull-out stre...
SYRINGOMYELIA
Objective: The cavities imbued with glia cells which may develop around the central canal of spinal cord are called syringomyelia. The pathophysiology of syringomyelia is yet to be defined in full. The aim of our stud...