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The Comparison of Pain Management Efficiency of Ultrasonography-guided Facet Joint Injection With Fluoroscopy-guided Injection in Lower Lumbar Facet Syndrome

Atci, Ibrahim B. MD; Ucler, Necati MD; Ayden, Omer MD; Albayrak, Serdal MD; Bitlisli, Hulya MD; Kilic, Suleyman MD; Altinsoy, Hasan B. MD

doi: 10.1097/WNQ.0000000000000172
Original Articles

Objective: The aim is to evaluate the efficiency of ultrasonograhy-guided lower lumbar facet injection.

Materials and Methods: Fifty cases admitted to Department of Neurosurgery, Elazig Education and Research Hospital, had no surgical pathology in lumbar magnetic resonance imaging, and whose pain was thought to be related to facet joint and in whom facet joint injection was performed, were included in the study. The injection was performed with C-arm fluoroscopy for 25 of patients, the other 25 were injected with ultrasonography control. The initial injection levels, average age, sex, and body mass indexes of the patients were recorded. Oswestry disability scale (ODI) and the Visual analog scores (VAS) were repeated at the sixth hour and 12th week were recorded. The results were statistically compared.

Results: Pain management was considered achieved at a statistically significant level when the preoperative and postoperative degrees of ODI and the VAS were compared with P<0.05. When the postoperative early and 12th week ODI and the VAS are compared, no statistically significant differences between groups 1 and 2 was present (P>0.05).

Conclusion: The ultrasonography-guided facet intra-articular injections, like fluoroscopy-guided injections, are efficient and successful at diagnosis and short-term pain management and should be kept in mind as a safer, cheaper alternative method to computed tomography, fluoroscopy-guided algological injections.

Departments of *Neurosurgery

Radiology, Elazig Education and Research Hospital, Elazig

Department of Neurosurgery, Adiyaman University Educatioin and Research Hospital, Adiyaman, Turkiye

The authors declare no conflict of interest.

Reprints: Necati Ucler, MD, Department of Neurosurgery, Adiyaman University Educatioin and Research Hospital, Adiyaman 02200, Turkiye (e-mail:

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