Multiple injections for low back pain: What’s the future?

European spine journal

article

Oluwatobi O Onafowokan¹  Nicola F. Fine¹  Francis Brooks¹  Oliver M. Stokes¹  Timothy WR Briggs²  Mike Hutton¹ 

[1] Exeter Spine Unit, Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter NHS Foundation Trust;Royal National Orthopaedic Hospital

关键词: Lumbar spine;    Facet joint;    Zygapophyseal joint;    Spinal injection;    Facet joint injection;    Medial branch block;    Facet joint nerve block;   

DOI  :  10.1007/s00586-019-06258-w

来源: Springer

【 摘 要 】

To examine the strength of evidence available for multiple facet joint injections (FJIs) and medial branch blocks (MBBs), and to report on the variations in the NHS England framework using the getting it right first time (GIRFT) data. Systematic review using patient, intervention, comparison, outcome and study strategy. The literature search using Cochrane, MEDLINE and EMBASE databases using MeSH terms: lumbar spine, spinal injection and facet joint (“Appendix A”). Three studies were identified that investigated the efficacy of multiple FJIs or MBBs. None of these studies reported sustained positive outcomes at long-term follow-up. There is a paucity of levels I and II evidence available for the efficacy of multiple FJIs and MBBs in treating low back pain. GIRFT data show a high degree of variation in the use of multiple FJIs, which would not be supported by the literature. These slides can be retrieved under Electronic Supplementary Material.

【 授权许可】

Unknown