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Postsurgical lumbar facet joint syndrome: Therapeutic results of facet infiltration
- Source :
- Interdisciplinary Neurosurgery, Vol 24, Iss, Pp 101056-(2021)
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Introduction Postsurgical Lumbar facet joint syndrome (PLFJS) is a clinical entity characterized by acute or chronic lumbar pain which can irradiate to the lower extremities but never with a dermatomal pattern in postsurgical patients of lumbar surgery. The diagnosis and treatment are with a Diagnostic Facet Block (DFB). This study describes the outcome of patients undergoing DFB after lumbar surgery and compares the results with patients without surgery. Methods An analytic and longitudinal study with patients over 18 years old between January 2018 and January 2020. For the comparative analysis, we performed two groups: non-surgical lumbar facet joint syndrome (NSLFJS) and PLFJS. Results The general prevalence of PLFJS in our population was 12.5%. The results after DBF showed a significant decrease in the Oswestry percentage and pain according to the Visual Analog Scale(VAS) for the NSLFJS and PLFJS groups between the 3 surgical stages (pre-DFB, post-DFB at 6 weeks and post-DFB at 6 months), but no significant differences between the 2 groups. Discussion The VAS and Oswestry reported a significant improvement in both groups of patients. The innervation of the lumbar facet joints causes pain, this is secondary to the pathological neural activity of facet arthritis that arises because of chronic postsurgical inflammation or chronic degenerative changes. Conclusion The origin of the LFJS is the arthrosis of the facet, originated by postsurgical or degenerative changes. DFB is effectivefor decreasing pain of facet joint origin in patients with previous lumbar surgery.
- Subjects :
- Lumbar pain
musculoskeletal diseases
medicine.medical_specialty
Longitudinal study
Visual analogue scale
Population
lcsh:Surgery
Diagnostic facet block
lcsh:RC346-429
030218 nuclear medicine & medical imaging
Facet joint
03 medical and health sciences
0302 clinical medicine
Lumbar
Lumbar facet joint
Dermatomal
medicine
education
Pathological
lcsh:Neurology. Diseases of the nervous system
education.field_of_study
business.industry
lcsh:RD1-811
Surgery
medicine.anatomical_structure
Lumbar joint facet syndrome
Neurology (clinical)
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 22147519
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- Interdisciplinary Neurosurgery
- Accession number :
- edsair.doi.dedup.....d85175420fcb45d0af31b27d53b2e310