Ultrasound-guided versus Computed Tomography-controlled facet joint injections in the middle and lower cervical spine: a prospective randomized clinical trial
| Autor: | Jochen, Obernauer, Klaus, Galiano, Hannes, Gruber, Reto, Bale, Alois Albert, Obwegeser, Reinhold, Schatzer, Alexander, Loizides |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Ultrasound device Acoustics and Ultrasonics Computed tomography Radiography Interventional Sensitivity and Specificity Zygapophyseal Joint Injections Intra-Articular law.invention Facet joint Randomized controlled trial law medicine Humans Radiology Nuclear Medicine and imaging Prospective Studies Arthrography Ultrasonography Interventional Neck Pain Radiological and Ultrasound Technology medicine.diagnostic_test business.industry Therapeutic effect Ultrasound Reproducibility of Results Middle Aged Cervical spine Ultrasound guided Treatment Outcome medicine.anatomical_structure Cervical Vertebrae Female Radiology Tomography X-Ray Computed business |
| Zdroj: | Medical Ultrasonography. 15:10-15 |
| ISSN: | 2066-8643 1844-4172 |
| DOI: | 10.11152/mu.2013.2066.151.jo1ugc2 |
| Popis: | A prospective randomized clinical trial was conducted to evaluate accuracy, time-saving, radiation doses and pain relief of ultrasound-guided (US) facet joint injections versus Computed Tomography (CT)-controlled interventions in the cervical spine.Forty adult patients were consecutively enrolled and randomly assigned to the US- or CT group. US-guided facet joint injections were performed on a standard ultrasound device using a broadband linear-array transducer. The corresponding comparison group underwent CT-guided instillations which were performed under standardized procedures using the CT-positioning laser function.The accuracy of ultrasound-guided interventions was 100%. The mean time (min:sec) to final needle placement in the US group was 04:46 versus 11:12 (p0.05) in the CT group for one injected level, and 05:49 in the US group versus 14:32 (p0.05) in the CT group for two injected levels. The mean dose-length product (DLP, mGy*cm) radiation dose, including CT confirmation for study purposes only, was 27.6 for the US group versus 88.2 in the CT group (p0.05) for one injected level, and 32.5 in the US group versus 205.0 in the CT group (p0.05) for two injected levels. Both groups showed the same significant visual-analog-scale (VAS) relief in pain (p0.05), without any "inter-methodic" differences (p0.05).US-guided intra-articular injections show the same therapeutic effect as CT-guided intra-articular injections and result in a significant reduction of procedure duration without any exposure to radiation. |
| Databáze: | OpenAIRE |
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