Yuri Lepenne

University of Milano-Bicocca

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Vincenzo Zakaria

University of Milan

Elena Virgina Colombo

ASST Fatebenefratelli Sacco

Roberto Capelli

ASST Fatebenefratelli Sacco

Michaela Cellina

ASST Fatebenefratelli Sacco

Paolo Florent Felisaz

ASST Fatebenefratelli Sacco

Maria Vittoria Bausano

University of Milan

Vittoria Chiarpenello

University of Milan

Piermario Tosco

ASST Fatebenefratelli Sacco

Giovanni Zatti

University of Milano-Bicocca

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ASST Fatebenefratelli Sacco

Fatebenefratelli Hospital

University of Milan

Azienda Ospedaliera Fatebenefratelli e Oftalmico

University of Pavia

Istituti di Ricovero e Cura a Carattere Scientifico

Ospedale di Circolo di Busto Arsizio

Società Italiana di Reumatologia

Casa di Cura Columbus

IRCCS Ospedale San Raffaele

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Ultrasound-guided lumbar facet injections. Technique and literature review

LO SCALPELLO-OTODI Educational (2023)

Yuri Lepenne Vincenzo Zakaria Maria Vittoria Bausano Vittoria Chiarpenello Paolo Florent Felisaz

This review examines the current state-of-the-art of ultrasound-guided lumbar facet joint injections (FJI), highlighting its emergence as a novel and increasingly successful approach. The literature underscores its growing popularity owing to practical advantages such as low cost, absence of radiation, real-time needle visualisation and tracking, and a low rate of complications. The procedure serves a dual purpose: as a diagnostic test for facet joint syndrome-related low back pain and as a therapeutic intervention for pain alleviation. Ultrasound guidance is particularly advantageous when coupled with needle guidance systems, ensuring precise needle direction for deep structure penetration with heightened accuracy. In conclusion, ultrasound-guided lumbar FJI is a non-invasive, cost-effective, and radiation- free alternative to intrarticular injections guided by fluoroscopy and computed tomography. This comprehensive review aims to serve as an insightful resource for practitioners, providing valuable insights into the procedural nuances and clinical benefits of this procedure.

Facet (psychology)

10.36149/0390-5276-294

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