Does Thoracic Manipulation Cause Extravasation at Joint Following Facet Injections?

Facet Injections and Radiofrequency Denervation

Comprehensive Treatment of Chronic Pain by Medical, Interventional, and Integrative Approaches ◽

10.1007/978-1-4614-1560-2_36 ◽

2012 ◽

pp. 371-380 ◽

Cited By ~ 2

Author(s):

Sunil J. Panchal

Keyword(s):

Radiofrequency Denervation ◽

Facet Injections

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Image Guidance for Spinal Facet Injections Using Tracked Ultrasound

Medical Image Computing and Computer-Assisted Intervention – MICCAI 2009 - Lecture Notes in Computer Science ◽

10.1007/978-3-642-04268-3_64 ◽

2009 ◽

pp. 516-523 ◽

Cited By ~ 18

Author(s):

John Moore ◽

Colin Clarke ◽

Daniel Bainbridge ◽

Chris Wedlake ◽

Andrew Wiles ◽

...

Keyword(s):

Image Guidance ◽

Tracked Ultrasound ◽

Facet Injections

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Spinal Facet Injections for Palliative Pain Management

Interventional Radiology in Palliative Care - Medical Radiology ◽

10.1007/978-3-030-65463-4_11 ◽

2021 ◽

pp. 105-115

Author(s):

Will Guest ◽

Manraj Heran

Keyword(s):

Pain Management ◽

Facet Injections

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Thoracic Nerve Root and Facet Injections: Computed Tomography

10.1093/med/9780199908004.003.0014 ◽

2016 ◽

Author(s):

Amaresh Vydyanathan ◽

Allan L. Brook ◽

Boleslav Kosharskyy ◽

Samer N. Narouze

Keyword(s):

Computed Tomography ◽

Nerve Root ◽

Soft Tissues ◽

Spinal Nerve ◽

Ct Fluoroscopy ◽

Disc Disease ◽

Direct Pressure ◽

Facet Injections ◽

Nerve Root Blocks ◽

Pain Patients

Thoracic back pain patients present with associated radiculopathy, degenerative disc disease, spondylosis, stenosis, scoliosis, rib fractures, tumors, or after undergoing thoracic surgery. Thoracic transforaminal or selective nerve root blocks (SNRBs) may be both therapeutic and diagnostic. Therapeutic injections may include either local anesthetics for pain relief or corticosteroids for anti-inflammatory effects. The two types of pain amenable to therapeutic SNRBs include pain caused by irritation or direct pressure on a spinal nerve and pain originating from anatomic structures that are innervated by the sinuvertebral nerve. Although these blocks are traditionally performed under fluoroscopic guidance, computed tomography (CT) and CT fluoroscopy have been increasingly used to direct needle placement and have been advocated by experts due to superior visualization of the needle tip and the ability to clearly define spinal anatomy and adjacent soft-tissues.

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Basics of Computed Tomography

10.1093/med/9780199908004.003.0003 ◽

2016 ◽

Author(s):

Krikor Malajikian ◽

Daniel Finelli

Keyword(s):

Computed Tomography ◽

Soft Tissues ◽

Imaging Modality ◽

Bone Biopsy ◽

Bone Lesions ◽

Disc Space ◽

Ct Guided ◽

Ct Arthrography ◽

Facet Injections ◽

Joint Injections

Computed tomography (CT)-guidance is typically used when precise needle placement is essential for a successful procedure. It uses ionizing radiation, which could pose risks to the patient and operating staff if proper technique is not used. The performing physician should adhere to all principles of minimizing radiation exposure to the patient and clinicians. Common CT-guided imaging procedures include facet injections, nerve root injections, sacroiliac joint injections, intradiscal procedures, vertebroplasty/sacroplasty, and image-guided ablation of painful bone lesions. Computed tomography is also the imaging modality of choice for aspiration of deep paraspinal soft tissues in addition to disc space or bone biopsy in acute discitis/osteomyelitis. In fluoroscopic-guided knee or shoulder joint injections, CT arthrography is a useful adjunct to better assess anatomy when MRI is contraindicated. When imaging the postoperative spine, CT myelography has some advantages over MRI, and CT is also superior to MRI in assessing par intra-articularis defects or spondylolysis.

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Learning curve of radiology residents during training in fluoroscopy-guided facet joint injections

Radiologia Brasileira ◽

10.1590/0100-3984.2015.0176 ◽

2017 ◽

Vol 50 (3) ◽

pp. 162-169 ◽

Cited By ~ 9

Author(s):

Tiago Rocha Dias ◽

João de Deus da Costa Alves Junior ◽

Nitamar Abdala

Keyword(s):

Lumbar Spine ◽

Learning Curve ◽

Facet Joint ◽

Lumbar Vertebrae ◽

Learning Curves ◽

Paravertebral Muscles ◽

Facet Injections ◽

Radiology Residents ◽

Joint Injections

Abstract Objective: To develop a simulator for training in fluoroscopy-guided facet joint injections and to evaluate the learning curve for this procedure among radiology residents. Materials and Methods: Using a human lumbar spine as a model, we manufactured five lumbar vertebrae made of methacrylate and plaster. These vertebrae were assembled in order to create an anatomical model of the lumbar spine. We used a silicon casing to simulate the paravertebral muscles. The model was placed into the trunk of a plastic mannequin. From a group of radiology residents, we recruited 12 volunteers. During simulation-based training sessions, each student carried out 16 lumbar facet injections. We used three parameters to assess the learning curves: procedure time; fluoroscopy time; and quality of the procedure, as defined by the positioning of the needle. Results: During the training, the learning curves of all the students showed improvement in terms of the procedure and fluoroscopy times. The quality of the procedure parameter also showed improvement, as evidenced by a decrease in the number of inappropriate injections. Conclusion: We present a simple, inexpensive simulation model for training in facet joint injections. The learning curves of our trainees using the simulator showed improvement in all of the parameters assessed.

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