Nonsurgical Interventional Spine Pain Procedures: Outcomes and Complications : JBJS Reviews

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Nonsurgical Interventional Spine Pain Procedures

Outcomes and Complications

Whitaker, Colin D. BA; Stone, Benjamin K. MSc; Gregorczyk, Jerzy A.; Alsoof, Daniel MBBS; Hardacker, Kyle MD; Diebo, Bassel G. MD; Daniels, Alan MD; Basques, Bryce MD

Author Information

1The Warren Alpert Medical School, Brown University, Providence, Rhode Island

2Medical University of Warsaw, Warsaw, Poland

3Department of Orthopedic Surgery, Warren Alpert Medical School, Brown University, Providence, Rhode Island

aEmail address for corresponding author: [email protected]

Investigation performed at The Warren Alpert Medical School of Brown University, Providence, Rhode Island

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (https://links.lww.com/JBJSREV/A942).

JBJS Reviews 11(4):e22.00235, April 2023. | DOI: 10.2106/JBJS.RVW.22.00235

Abstract

  • » Nonsurgical interventional spine pain procedures provide an additional treatment option for lower back pain at the traditional bifurcation of conversative vs. operative management.
  • » Transforaminal epidural steroid injections, radiofrequency ablations, intrathecal drug delivery, and spinal cord stimulation were found to be effective and safe techniques when applied to their specific indication.
  • » Thermal annuloplasty and minimally invasive lumbar decompression showed mixed support.
  • » Discography, sacroiliac joint injections, and spinous process spacers lacked sufficient evidence to support efficacy.
  • » Medial branch blocks and facet joint injections were found to be useful diagnostic tools.

Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated

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