Spine epidural and sacroiliac joints injections – when and how to perform
| Autor: | Lorenzo Maria Gregori, Massimo Gallucci, Federico D’Orazio |
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| Rok vydání: | 2015 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Radiography Radiography Interventional Perceived pain Adrenal Cortex Hormones medicine Humans Radiology Nuclear Medicine and imaging Sacroiliac joint Evidence-Based Medicine medicine.diagnostic_test business.industry Sacroiliac Joint Magnetic resonance imaging General Medicine Evidence-based medicine Epidural space Surgery Treatment Outcome medicine.anatomical_structure Spinal epidural Practice Guidelines as Topic Female Radiology business Anesthesia Caudal Low Back Pain Lumbosacral joint |
| Zdroj: | European Journal of Radiology. 84:777-782 |
| ISSN: | 0720-048X |
| Popis: | Objectives To review the state-of-the-art of image – guided techniques used to treat painful syndromes of the lower back, their indications, how they should be performed, their related risks and the expected results. Methods We describe the actual standards about image-guided infiltrative therapies both on spine and on sacroiliac joints. Results Both spinal epidural and sacroiliac injections appear useful in a large percentage of treated patients to get control of the perceived pain. Performing these therapies under CT or fluoroscopic guidance is the best and safest way to obtain satisfactory results because it is possible to target the use of drugs directly to the involved painful structures. Conclusions Image-guided injections of the epidural space and of the sacroiliac joints are effective techniques for the treatment of pain; their effectiveness is sometimes not lasting for long periods of time but considering the low associated risk when performed by trained personnel, they can be easily repeated. |
| Databáze: | OpenAIRE |
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