Ultrasound-Guided Injections in the Lumbar and Sacral Spine
10.4184/jkss.2018.25.4.185
- Author:
Kwang Pyo KO
1
;
Jae Hwang SONG
;
Whoan Jeang KIM
;
Sang Bum KIM
;
Young Ki MIN
Author Information
1. Hanmaeum Orthopaedic Clinic, Daejeon, Korea.
- Publication Type:Review
- Keywords:
Lumbar;
Sacral;
Ultrasound-guided Injection
- MeSH:
Fluoroscopy;
Injections, Intra-Articular;
Ligaments;
Methods;
Muscles;
Posture;
Radiation Exposure;
Sacroiliac Joint;
Spine;
Ultrasonography;
Zygapophyseal Joint
- From:Journal of Korean Society of Spine Surgery
2018;25(4):185-195
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
STUDY DESIGN: Literature review. OBJECTIVE: Ultrasound-guided injections are a common clinical treatment for lower lumbosacral pain that are usually performed before surgical treatment if conservative treatment fails. The aim of this article was to review ultrasound-guided injections in the lumbar and sacral spine. SUMMARY OF LITERATURE REVIEW: Ultrasound-guided injections, unlike conventional interventions using computed tomography or C-arm fluoroscopy, can be performed under simultaneous observation of muscles, ligaments, vessels, and nerves. Additionally, they have no radiation exposure and do not require a large space for the installation of equipment, so they are increasingly selected as an alternative method. MATERIALS AND METHODS: We searched for and reviewed studies related to the use of ultrasound-guided injections in the lumbar and sacral spine. RESULTS: In order to perform accurate ultrasound-guided injections, it is necessary to understand the patient's posture during the intervention, the relevant anatomy, and normal and abnormal ultrasonographic findings. Facet joint intra-articular injections, medial branch block, epidural block, selective nerve root block, and sacroiliac joint injections can be effectively performed under ultrasound guidance. CONCLUSIONS: Ultrasound-guided injections in the lumbar and sacral spine are an efficient method for treating lumbosacral pain.
