Ultrasound-guided fluoroscopic-verified trans-foraminal lumbar dorsal root ganglion pulsed radiofrequency modulation for radicular pain relief: clinical and cadaveric evaluation of the technique

The Egyptian Journal of Radiology and Nuclear Medicine

Sahar Ahmed El-Karadawy¹  Nancy Mohamed El Sekily²  Sherif El-Sayed Hegab³  Mohamed Ihab Samy Reda³  Omar Sameh Elaassar³  Shaaban Omar³  Mowaffak Moustafa Saad⁴ 

[1] Department of Anaesthesia and Pain Management, Medical Research Institute, Alexandria University;Department of Anatomy, Faculty of Medicine, Alexandria University;Department of Diagnostic and Interventional Radiology, Faculty of Medicine, Alexandria University;Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Alexandria University;

关键词: Pulsed radiofrequency;    Lumbar DRG;    Ultrasound;    Fluoroscopy;   

DOI  :  10.1186/s43055-021-00416-1

来源: DOAJ

【 摘 要 】

Abstract Background Ultrasound-guided lumbar pain interventions were thought to be difficult; the high acoustic impedance of bone hides the underling structures and needle path. Reviewing the sonoanatomy of the lumbar region using different planes and angles made better sonographic guidance for spine injections. The aim of this prospective study is to assess the accuracy and safety of ultrasound (US)-guided lumbar trans-foraminal pulsed radiofrequency of the dorsal root ganglion confirmed by fluoroscopic imaging in management of chronic radicular pain. Results Thirty-two patients, with 34 lumbar interventions, were included in the study. Thirty-one interventions out of 34 were performed successfully with overall accuracy of 91.18% and with minimal complications. The successful first trial placement of the cannula was calculated in 44.1% of interventions; multiple trials were needed in 47.1% while incorrect level was encountered in 8.8%. Visual analogue scale of pain and Oswestry Disability Index decreased significantly after intervention up to 3 months compared to the pre-intervention value. The analgesic consumption was reduced by mean of 73.44 ± 31.07% 1 month after intervention. Conclusions US-guided fluoroscopic-verified trans-foraminal PR of lumbar DRG is accurate, safe, and effective for CRP.

【 授权许可】

Unknown