Sonoanatomic indices of lumbar facet joints in patients with facetogenic back pain in comparison to healthy subjects.

Autor: Rahimzadeh P; Pain Research Center, Iran University of Medical Sciences, Tehran, Iran. Electronic address: poupak_rah@hotmail.com., Faiz HR; Endometriosis and Gynecologic Disorders Center, Iran University of Medical Sciences, Tehran, Iran. Electronic address: hrfaiz@hotmail.com., Baghaee AR; Hormozgan University of Medical Sciences, Hormozgan, Iran. Electronic address: alireza.baghaee@gmail.com., Nader ND; University at Buffalo, Buffalo, NY 14214, USA. Electronic address: nnader@buffalo.edu.
Jazyk: angličtina
Zdroj: Journal of clinical anesthesia [J Clin Anesth] 2017 Feb; Vol. 36, pp. 67-71. Date of Electronic Publication: 2016 Nov 24.
DOI: 10.1016/j.jclinane.2016.10.005
Abstrakt: Background: Nowadays, ultrasound is increasingly used with a great accuracy in performing nerve blocks for facet joint disease.
Objectives: To measure sonoanatomic characteristics for the facet joints of lumbar vertebras in patients with facetogenic pain and healthy volunteers.
Study Design: Cross-sectional, observational study.
Setting: University-affiliated Specialty Clinic for Pain Management.
Patients: Twenty patients with facet joint disease (FJD) and 40 healthy volunteers (HVGs) were matched for age and sex, height, and weight. Patients with FJD were referred with complaints of pain in the left lumbar facet joints that twice responded favorably to ultrasound guided medial branch blocks.
Intervention: Medial branch blocks.
Measurement: The interfacet joint distance (IFJD) between the third, the fourth, and the fifth lumbar vertebras and their depth from the level of skin (DFS) were measured bilaterally, using a high-resolution ultrasound in both groups.
Results: Thirty-one men and 29 women with average age of 41.5±9.5 years were enrolled. The IFJD for L3-L4 was 31.5±4.0 mm on the left side and 31.8±4.0 mm on the right side. The IFJD for L4-L5 was 31.3±4.4 mm on the left side and 31.5±4.0 mm on the right side. The IFJD was uniformly 2.2 mm shorter in the FJD group than those in the HVG group (P=.021). The measurements of DFS increased in lower vertebras (L3Limitations: The diagnosis of facet joint disease was merely clinical and the total number of the patients was relatively small.
Conclusion: Interfacet distances of the lumbar vertebras are smaller in patients suffering from degenerative FJD compared with HVGs. Degenerative changes of intervertebral discs and partial reduction of space between 2 adjacent vertebras may contribute to this observation.
(Published by Elsevier Inc.)
Databáze: MEDLINE
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