Mekanik bel ağrılarında faset blokajı

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.