The Technique of Intradiscal Injection: A Narrative Review
| Autor: | S. Tormenta, Alberto Bellelli, Carmelo Pirri, Andrea Sorbino, Calogero Foti, Alberto Migliore, Bruno Frediani, Serenella Bacciu |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Spondylodiscitis
medicine.medical_specialty Population 030204 cardiovascular system & hematology Needle guidance 03 medical and health sciences 0302 clinical medicine Key terms medicine Fluoroscopy Pharmacology (medical) 030212 general & internal medicine General Pharmacology Toxicology and Pharmaceutics education education.field_of_study Chemical Health and Safety medicine.diagnostic_test business.industry General Medicine medicine.disease Low back pain Facet joint syndrome Physical therapy Narrative review medicine.symptom business Safety Research |
| Zdroj: | Therapeutics and Clinical Risk Management. 16:953-968 |
| ISSN: | 1178-203X |
| DOI: | 10.2147/tcrm.s251495 |
| Popis: | Background Low back pain (LBP) is one of the most common spine diseases and represents the most frequent cause of absence from work in developed countries. Approximately 40% of chronic LBP is related to discogenic origin. The goal of the study is producing a review of literature to describe analytically the techniques of intradiscal injections. Methods PubMed database was searched for clinical studies with the different key terms: "intradiscal", "injection", "steroid" "procedures", "techniques", "CT", "MRI", "fluoroscopy", "fluoroscopic", "guidance", "ozone", "ultrasound", "images". Only studies written in English, French, or Italian in which the intradiscal injection represents the main procedure for the low back discopathy treatment on humans were considered. We excluded the articles that do not mention this procedure; those which indicated that the intradiscal injection had happened accidentally during other treatments; those reporting the patient's pain was determined by other causes than the discopathy (facet joint syndrome, tumor, spondylodiscitis). Results Thirty-one articles dated from 1969 to 2018 met the criteria. The examined population was 6843 subjects, 52.3% male and 47.7% female, with a mean age of 45.9±10.1 years. The techniques are highly variable in terms of procedure: different operators, needle guidance, injection sites, drugs, tilt angle of the needle). Conclusion The efficacy and the safety of the intradiscal procedures are not easily comparable due to different types of studies and their limited number. Further studies are needed to standardize the intradiscal injection technique/procedure to improve safety, repeatability and effectiveness, and last but not least to reduce peri- and postoperative care and health-care costs. |
| Databáze: | OpenAIRE |
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