腰椎面骨注射治疗后,面骨关节病和滑膜炎的核磁共振成像结果与健康相关结果和疼痛评分之间的关系

IF 1.6 Q2 ANESTHESIOLOGY
Anesthesiology Research and Practice Pub Date : 2024-10-18 eCollection Date: 2024-01-01 DOI:10.1155/2024/7889539
Michael S Green, Michele Van Hal, Matthew Onimus, Christopher R Hoffman, Dhruv K C Goyal, Valeria Potigailo, Khuram S Kazmi
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引用次数: 0

摘要

腰痛是成年人的常见病。面关节是腰痛的主要来源,面关节注射治疗作为一种微创治疗方法已越来越受欢迎。此外,在过去几十年中,用于诊断腰痛的磁共振成像(MRI)也大幅增加。面关节滑膜炎是一种以影响面关节、邻近骨髓和周围软组织的水肿和炎症变化为特征的疾病。虽然其病因尚不清楚,但最近的报告显示,关节病和关节炎患者的发病率很高。探讨特定磁共振成像结果与腰椎面骨注射后疗效之间的潜在相关性至关重要。考虑到关节面滑膜炎的炎症性质以及关节面注射中抗炎药物的普遍使用,这项研究对关节面滑膜炎尤为重要。我们研究了磁共振成像显示的面关节病和/或滑膜炎与治疗性面注射后健康相关结果和疼痛评分的改善程度之间的关联。研究对象为接受双侧治疗性切面注射的患者,不包括曾接受过腰椎手术或过渡节段的患者。两名神经放射科医生通过核磁共振成像对面关节病和滑膜炎进行了评估,并根据核磁共振成像结果进行了单变量和多变量分析,对疼痛和功能等术后结果进行了比较。我们的回顾性研究表明,当已知面滑膜炎是患者病理的一部分时,接受面注射的患者因背痛而导致的日常活动和工作能力负担评分的平均降低幅度更大。作者认为,进一步的研究有助于确定哪些患者最适合接受治疗干预。这最终可能会改善护理服务、成本效益和患者满意度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association Between MRI Findings of Facet Arthropathy and Synovitis With Health-Related Outcome and Pain Scores Following Therapeutic Lumbar Facet Injections.

Low back pain is a common complaint among adults. The facet joint is a major source of lumbar pain, and therapeutic facet injections have gained popularity as a minimally invasive treatment option. In addition, magnetic resonance imaging (MRI) utilization for diagnosing low back pain has increased significantly over the past few decades. Facet synovitis is an entity characterized by edema and inflammatory changes affecting the facet joints, adjacent bone marrow, and surrounding soft tissues. Although its underlying etiology remains poorly understood, recent reports suggest a high incidence in patients with arthropathy and arthritis. It is essential to explore potential correlations between specific MRI findings and outcomes after lumbar facet injections. This investigation is particularly relevant for facet synovitis, given its inflammatory nature and the common use of anti-inflammatory agents in facet injections. We investigated associations between MRI evidence of facet arthropathy and/or synovitis and the degree of improvement in health-related outcome and pain scores after therapeutic facet injections. The review was conducted on patients who received bilateral therapeutic facet injections, excluding those with prior lumbar spinal surgery or transitional segments. Facet arthropathy and synovitis were assessed on MRI by two neuroradiologists, and postprocedure outcomes such as pain and function were compared using univariate and multivariate analyses based on MRI findings. Our retrospective review indicates that patients receiving facet injections experience greater mean reduction in daily activity and workability burden scores from back pain when facet synovitis is a known portion of their pathology. The authors pose that further study could help identify patient populations that are the best candidates for therapeutic intervention. This may ultimately improve delivery of care, cost efficacy, and patient satisfaction.

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CiteScore
3.10
自引率
0.00%
发文量
29
审稿时长
18 weeks
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