Ultrasound-guided lumbar facet injections. Technique and literature review
Yuri LepenneVincenzo ZakariaMaria Vittoria BausanoVittoria ChiarpenelloPaolo Florent FelisazMichaela CellinaElena Virgina ColomboPiermario ToscoGiovanni ZattiRoberto Capelli
0
Citation
22
Reference
10
Related Paper
Abstract:
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.Keywords:
Facet (psychology)
Objective:To study the changes of stress on lumbar facet joint in different lumbar manipulations by biomechanical method.Method: Cadaver lumbar spines were loaded on a material test system, and applied to a computer quantitative control to simulate three kinds of manipulations and measured stress on lumbar facet joint by sensitive film.Result:There was no significant difference for stress on lumbar facet joint in simulating three manipulations .The stress of lumbar facet were lower than the limitation of lumbar facet fracture.Conclusion:The manipulations are safe within certain rotation angle.
Facet (psychology)
Cite
Citations (2)
Presents a set of typology of characteristics for Speciators to various facets namely Basic facet, Personality facet, Property facet, Energy facet, Space facet and Time facet for use in the construction of coextensive class numbers according to Colon Classification. The application of typology Is. illustrated with examples from depth schedules for different fields of knowledge.
Facet (psychology)
Cite
Citations (0)
Hepatic hemangioma is usually detected on a routine ultrasound examination because of silent clinical behaviour. The typical ultrasound appearance of hemangioma is easily recognizable and quickly guides the diagnosis without the need for further investigation. But there is also an entire spectrum of atypical and uncommon ultrasound features and our review comes to detail these particular aspects. An atypical aspect in standard ultrasound leads to the continuation of explorations with an imaging investigation with contrast substance [ultrasound/ computed tomography/or magnetic resonance imaging (MRI)]. For a clinician who practices ultrasound and has an ultrasound system in the room, the easiest, fastest, non-invasive and cost-effective method is contrast enhanced ultrasound (CEUS). Approximately 85% of patients are correctly diagnosed with this method and the patient has the correct diagnosis in about 30 min without fear of malignancy and without waiting for a computer tomography (CT)/MRI appointment. In less than 15% of patients CEUS does not provide a conclusive appearance; thus, CT scan or MRI becomes mandatory and liver biopsy is rarely required. The aim of this updated review is to synthesize the typical and atypical ultrasound aspects of hepatic hemangioma in the adult patient and to propose a fast, non-invasive and cost-effective clinical-ultrasound algorithm for the diagnosis of hepatic hemangioma.
Contrast-enhanced ultrasound
Liver Hemangioma
Cite
Citations (12)
Cite
Citations (103)
We tested predicted relationships (Widiger, 1993; Widiger, Trull, Clarkin, Sanderson, & Costa, 1994) between personality disorder scores and facets of the five-factor model, and evaluated the relative benefits of facet-level analyses over domain-level analyses. Data from 614 undergraduates indicated: (a) 63% of the predicted facet relationships were significant, although many unpredicted relationships also emerged; (b) facet-level analyses did not yield substantially stronger effect sizes than domain-level analyses; but (c) facet-level analyses provided much better discrimination between personality disorders than domain-level analyses. Facets of the openness to experience domain also helped discriminate between personality disorders, which is in contrast to previous domain-level findings that openness is not important.
Facet (psychology)
Openness to experience
Cite
Citations (153)
Objective To study the effect of lumbar facet joints orientation in development of lumbar intervertebral disc degeneration. Methods The angle of lumbar facet joints of 18 cadaver lumbar verteabral bone specimens were measured by hand and on CT scan picture. Results The angle of lumbar facet joints changed larger gradually from L\-1 to L\-5. Conclusion Rank sum test shows non\|significant difference in these two data. Increasing lumbar facet joints angle was considered to be suitable for larger scope of movement in lower lumbar spine. It may be an influencing factor in the development of degeneration of lower lumbar intervertebral disc at early stage.
Facet (psychology)
Degeneration (medical)
Intervertebral Disc
Intervertebral disk
Cite
Citations (0)
Based on the analysis of 53 cases of derangement of Lumbar facet joints,and the cause of Lumbago,the disease was classified into two types:the peri-articular and the intraarticular type.Through microanatomical observation of 100 posteromedial branch of Lumbar spinal nerve from 10 cadavers,it was shown that the facet joints were chiefly innervated by posteromedial branch.They were compressed by multiple factors along their course and passage.The pathogenesis and principle of manipulative therapy of the ailment were explored based on the neuroanatomical and physiological data.
Facet (psychology)
Derangement
Pathogenesis
Cite
Citations (0)
OBJECTIVE: To assess the evolution of the cases treated with percutaneous facet fusion with bone allograft in lumbar facet disease. METHOD: Between 2010 and 2014, 100 patients (59 women and 41 men) diagnosed with lumbar facet disease underwent surgery. RESULTS: The lumbar facet fusion with bone allograft shows good clinical results, is performed on an outpatient basis, and presents minimal complications and rapid incorporation of the patient to the activities of daily living. CONCLUSIONS: The lumbar facet fusion with bone allograft appears to be an effective treatment for lumbar facet disease.
Facet (psychology)
Cite
Citations (2)
Facet (psychology)
Cite
Citations (35)
Objective To analyze the application value of ultrasound, MRI and CT in the diagnosis of primary gallbladder carcinoma. Methods The imaging data of 50 patients with primary gallbladder carcinoma confirmed by operation and pathology were retrospectively analyzed. All patients underwent ultrasound examination. 40 cases underwent CT examination and 25 cases underwent MRI examination. The imaging findings were observed and analyzed, respectively. Meanwhile, the findings were compared with the results of operation and pathological examination. The accuracy of the three kinds of examinations in the diagnosis of primary gallbladder carcinoma was compared. ResultsCompared with operation and pathological results, the diagnostic accordant rates(accuracy) of ultrasound, CT and MRI were 64.0%, 73.3% and 88.0%. The diagnostic accuracy of MRI was significantly higher than that of ultrasound, and the difference was statistically significant(P0.05). Conclusion Ultrasound, MRI and CT in the diagnosis of primary gallbladder carcinoma have their own advantages and disadvantages, and the diagnostic accordant rates of MRI was the highest while of ultrasound was the lowest.
Cite
Citations (0)