Journals / Journal of Turkish Spinal Surgery / 2014 / Cilt: 25 - Sayı: 2

Mekanik bel ağrılarında faset blokajı

Facet blockage for mechanical low back pain

Pages
123–128
Publication Date
2022-10-18
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: The statistically significant good early period results, the greater reduction of pain during the follow-up period and the easy applicability of the procedure constitute the most significant advantages of facet joint blockage.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Background data: Nearly 85 % of all individuals are reported to have experienced lower back pain by the time they are 50 years old.
📊
Key Findings & Data:The prevalence of lower back pain increases starting from the second decade and reaches the highest level between the ages of 55-64.
💡
Conclusion & Impact:Conclusion: The statistically significant good early period results, the greater reduction of pain during the follow-up period and the easy applicability of the procedure constitute the most significant advantages of facet joint blockage.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background data: Nearly 85 % of all individuals are reported to have experienced lower back pain by the time they are 50 years old. The prevalence of lower back pain increases starting from the second decade and reaches the highest level between the ages of 55-64. The large majority (97 %) of lower back pain are mechanical in nature. ÖZET Purpose: To demonstrate effectiveness of lumbar facet blockage for MBP. Material and methods: Patients were laid in prone position on the fluoroscopy table. A 22 G spinal needle was used to administer 10 mg prilocaine, 5 mg bupivacaine and 10 mg methylprednisolone acetate to all four of the L4-5 and L5- S1 facet joints with the aid of fluoroscopic AP and lateral visualization. The patients were discharged following a short waiting period of 20 minutes. Rest was not recommended for the patients. Patients were evaluated with the Modified Oswestry Low Back Pain Disability Questionnaire and the Visual Analogue Scale. For all patients, the questionnaire and scale values were recorded prior to the operation and also on the post-operative 1st day, 10th day, 1st month and 6th month. Results: After intervention, VAS and OD scores were recorded significantly lower than preoperative period. Patients no need to rest after procedure. Conclusion: The statistically significant good early period results, the greater reduction of pain during the follow-up period and the easy applicability of the procedure constitute the most significant advantages of facet joint blockage.

Özet

Background data: Nearly 85 % of all individuals are reported to have experienced lower back pain by the time they are 50 years old. The prevalence of lower back pain increases starting from the second decade and reaches the highest level between the ages of 55-64. The large majority (97 %) of lower back pain are mechanical in nature. ÖZET Purpose: To demonstrate effectiveness of lumbar facet blockage for MBP. Material and methods: Patients were laid in prone position on the fluoroscopy table. A 22 G spinal needle was used to administer 10 mg prilocaine, 5 mg bupivacaine and 10 mg methylprednisolone acetate to all four of the L4-5 and L5- S1 facet joints with the aid of fluoroscopic AP and lateral visualization. The patients were discharged following a short waiting period of 20 minutes. Rest was not recommended for the patients. Patients were evaluated with the Modified Oswestry Low Back Pain Disability Questionnaire and the Visual Analogue Scale. For all patients, the questionnaire and scale values were recorded prior to the operation and also on the post-operative 1st day, 10th day, 1st month and 6th month. Results: After intervention, VAS and OD scores were recorded significantly lower than preoperative period. Patients no need to rest after procedure. Conclusion: The statistically significant good early period results, the greater reduction of pain during the follow-up period and the easy applicability of the procedure constitute the most significant advantages of facet joint blockage.

🔖

Cite This Article

ER, U., SORAR, M., ÖZEREN, E., ALTAY, O. (2022). Mekanik bel ağrılarında faset blokajı. Journal of Turkish Spinal Surgery, Cilt: 25 - Sayı: 2, 123–128. https://ajindex.com/articles/568580

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (18)

  1. Atkinson JH, Slater MA, Behavioral medicine ap- proaches to chronic back pain. In: Rotman RH, Simeone FA (Eds). The Spine. Vol. II, Third Ed., Saunders Com- pany, Philadelphia,1992; pp: 1961-1981
  2. Brodie DJ, Burnett JW. Evaluation of low back pain by patient questionnaries and therapist assesment. JOSP 1990; 11: 11-12
  3. Dreyfuss P, Schwarzer AC, Lau P, Bogduk N. Specificity of lumbar medial branch and L5 dorsal ra- mus blocks: a computed tomography study. Spine 1997; 22(8): 895–902
  4. Fast A. Low back disorders. Conservative manage- ment. Arch Physical Med Rehab1988; 69: 880-891
  5. Frymoyer JW, Pope MH, Clements JH. Risk fac- tors in low back pain. J Bone Joint Surg 1983; 65-A (2): 213-218
  6. Koçyiğit H, Aydemir Ö, Fişek G, Ölmez N. Kısa form-36’nın Türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve Tedavi 1999; 12(2): 102-106
  7. Lynch MC, Taylor JF. Facet joint injection for low back pain. A clinical study. J Bone Joint Surg 1986;68-B: 138-141
  8. Masala S, Nano G, Mammucari M, Marcia S, Si- monetti G. Medial branch neurotomy in low back pain. Neuroradiology 2012; 54(7): 737-744
  9. Mayer T, Gatchel RJ, Evans T. Effect of age on outcomes of tertiary rehabilitation for chronic disabling spinal disorders. Spine 2001; 26(12): 1378-1384
  10. Milette PC, Fontaine S, Lepanto L, Cardinal E, Breton G. Differentiating lumbar disc protrusions, disc bulges and discs with normal contour but abnormal sig- nal intensity. Magnetic resonance imaging with disco- graphic correlations. Spine 1999; 24: 44-53
  11. Müslümanoğlu L, Soy D, Ketenci A ve ark. Kronik bel ağrılı hastalarda bel okulunun uzun dönem sonuçları. Romatoloji ve Tıbbi Rehabilitasyon Dergisi 1994; 5: 95-99
  12. Oğuz H. Bel Ağrıları, Romatizmal Ağrılar. Atlas Tıp Kitapevi, Konya, 1992; pp: 147-228
  13. Oğuz H. Bel Ağrıları. Tıbbi Rehabilitasyon
  14. Baskı, Nobel Tıp Kitapevi, İstanbul, 2004; pp: 1131- 1171
  15. Özcan E, Ketenci A. Bel Ağrısı Tanı ve Tedavi, No- bel Kitapevi, İstanbul, 2002; sh 59-89
  16. Roland M, Fairbank J. The Roland-Morris disa- bility questionnaire and the Oswestry disability question- naire. Spine 2000; 24: 3115-3124
  17. Steven P. Cohen MD, Srinivasa N, Raja MD. Pathogenesis, diagnosis, and treatment of lumbar zyga- pophysial (facet) joint pain. Anesthesiology 2007; 106: 591–614
  18. Waddel G, Nachemson AL, Philips RB, Waddel G. The Back Pain Revolution. Churchill Livingstone, Ed- inburgh, 1998; pp: 27-44.