Usefulness of Ultrasound-guided Facet Joint Block in the Out Patient Clinics (외래에서 초음파를 이용한 후관절 차단술의 유용성)

Suk-Joong Lee (이석중); Dae Moo Shim (심대무); 김창수; 황재선; Sung Kyun Oh (오성균)

Usefulness of Ultrasound-guided Facet Joint Block in the Out Patient Clinics

Journal of Korean Society of Spine Surgery
Abbr : J Kor Spine Sur
2012, 19(4), pp.164-170
Publisher : Korean Society Of Spine Surgery
Research Area : Medicine and Pharmacy > Orthopedic Surgery

Suk-Joong Lee ¹, Dae Moo Shim ², 김창수 ², 황재선 ², Sung Kyun Oh ²

¹서울대학교
²원광대학교

Accredited

ABSTRACT

Study Design: Level III, retrospective studies. Objectives: This study is conducted to evaluate the effect and usefulness of ultrasound guided facet block for the outpatients who complained of chronic lower back pain. Summary of Literature Review: Facet joint syndrome was introduced in 1976, by Mooney V. It was considered to be one of the major causes of low back pain. Materials and Methods: Between October 2009 to March 2011, 98 cases were selected from the outpatients who complained of chronic lower back pain for more than 3 months. The patients had no surgery history and did not complain of neuromuscular symptoms, and they had more than three times outpatient care at least and could be followed up for 1 year. The patients were divided into three groups; first was the ultrasound guided facet block group (27 cases), second was the Fluoroscopy guided facet block group (39cases) and third was the conservative group (32 cases).The clinical results were analyzed using Kim’s criteria and the Visual Analog Scale score, ODI score, Physician’s global assessment (subjective), Patient’s global assessment (Objective). Results: The VAS score was improved from an average of 7.75±1.5 to 4.47±2.4 in the ultrasound guided facet block group, and from 7.81±1.4 to 4.39 ±2.6 in the Fluoroscopy guided facet block group, and from 7.87±1.3 to 6.24±2.1 in the conservative group. The VAS score, Kim’s criteria, ODI score, Physician’s global assessment (subjective), and Patient’s global assessment (Objective) showed statistically significant improvement in the ultrasound guided facet block group and Fluoroscopy guided facet block group. Conclusion: In the outpatient clinics, comparing with the group that underwent conservative treatment with medication, the group treated with ultrasound for block could have better results in clinical improvement.

KEYWORDS

Ultrasound, Facet joint block, Chronic low back pain

Citation status

* References for papers published after 2023 are currently being built.

[journal] Mooney V / 1976 / The facet syndrome / Clin Orthop Relat Res 115 : 149~156

[journal] Frymoyer JW / 1988 / Back pain and sciatica / N Engl J Med 318 : 291~300

[journal] Bogduk N / 1997 / International Spinal Injection Society Guidelines for the Performance of Spinal Injection Procedures.: Part 1: Zygapophysial Joint Blocks / Clin J Pain 13 : 285~302

[journal] Gangi A / 1998 / CT-guided interventional procedures for pain management in the lumbosacral spine / Radiographics 18 : 621~633

[journal] Saal JS / 2002 / General principles of diagnostic testing as related to painful lumbar spine disorders: a critical appraisal of current diagnostic techniques / Spine(Phila Pa 1976) 27 : 2538~2545

[journal] Greher M / 2004 / Ultrasoundguided lumbar facet nerve block: a sonoanatomic study of a new methodologic approach / Anesthesiology 100 : 1242~1248

[journal] Rauch S / 2009 / Ultrasound-guided lumbar medial branch block in obese patients: a fluoroscopically confirmed clinical feasibility study / Reg Anesth Pain Med 34 : 340~342

[journal] Shim JK / 2006 / Ultrasound-Guided Lumbar Medial-Branch Block: A Clinical Study With Fluoroscopy Control / REGIONAL ANESTHESIA AND PAIN MEDICINE 31(5) : 451~454

[journal] Eisenstein SM / 1987 / The lumbar facet arthrosis syndrome. Clinical presentation and articular surface changes / J Bone Joint Surg Br 69 : 3~7

[journal] Ahn MW / 2007 / Degenerative Instability of the Lumbar Spine / J Korean Soc Spine Surg 14 : 292~304

[journal] Jeon CH / 1997 / Intra and Extraspinal Infected Synovial Cyst of the Lumbar Spine-Case Report / J Korean Soc Spine Surg 4 : 357~364

[journal] Helbig T / 1988 / The lumbar facet syndrome / Spine (Phila Pa 1976) 13 : 61~64

[journal] Pedersen HE / 1956 / The anatomy of lumbosacral posterior rami and meningeal branches of spinal nerves (sinu-vertebral nerves) with an experimental study of their functions / J Bone Joint Surg Am 38 : 377~391

[journal] Hirsch C / 1963 / The anatomical basis for low back pain: Studies on the presence of sensory nerve endings in ligamentous, capsular and intervertebral disc structures in the human lumbar spine / Acta orthopaedica 33 : 1~17

[journal] Kellgren J / 1938 / Referred Pains from Muscle / Br Med J 12 : 325~327

[journal] Mooney V / 1983 / The syndromes of low back disease / Orthop Clin North Am 14 : 505~515

[journal] Rees WS / 1983 / Rhysolysis of the nerves of the zygoapophyseal joints / Spine (Phila Pa 1976) 8 : 118~120

[journal] Shealy CN / 1976 / Facet denervation in the management of back and sciatic pain / Clin Orthop Relat Res 115 : 157~164

[journal] Silvers HR / 1990 / Lumbar percutaneous facet rhizotomy / Spine(Phila Pa 1976) 15 : 36~40

[journal] Smith DL / 2012 / Radiation Exposure During Continuous and Pulsed Fluoroscopy / J Endouro

[journal] Kirchmair L / 2002 / Ultrasound guidance for the psoas compartment block: an imaging study / Anesth Analg 94 : 706~710

[journal] Kirchmair L / 2001 / study of the paravertebral anatomy for ultrasound-guided posterior lumbar plexus block / Anesth Analg 93 : 477~481

[journal] Greher M / 2004 / Ultrasound-guided lumbar facet nerve block: accuracy of a new technique confirmed by computed tomography / Anesthesiology 101 : 1195~1200

[journal] Galiano K / 2005 / Ultrasound guidance for facet joint injections in the lumbar spine: a computed tomography-controlled feasibility study / Anesth Analg 101 : 579~583

[journal] 심대무 / 2012 / Comparison of Ultrasonography and Magnetic Resonance Imaging in Measurement of Lumbar Spine Anatomic Structures / 대한정형외과학회지 / 대한정형외과학회 47(2) : 140~145

[journal] Lippitt AB / 1984 / The facet joint and its role in spine pain. Management with facet joint injections / Spine 9 : 746~750

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