Abstract
Focal pain is seen in spinal facet arthropathy. A 25-gauge spinal needle is inserted and advanced into the facet joint under fluoroscopy, followed by contrast media administration for placement confirmation under fluoroscopy. Then a short Luer-lock extension tube is attached to the spinal needle hub to inject the steroid mixture, usually 80 mg methylprednisolone acetate in 1 mL together with 1–2 mL of bupivacaine 0.25–0.5 %. Difficult targeting of or entry into the facet joint due to significant osteophytosis can complicate the procedure. Bleeding and infection are rare complications.
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References
Luo QZ, Lin L, Gong Z, et al. Positive association of major histocompatibility complex class I chain-related gene A polymorphism with leukemia susceptibility in the people of Han nationality of Southern China. Tissue Antigens. 2011;78(3):178–84.
Stone JA, Bartynski WS. Treatment of facet and sacroiliac joint arthropathy: steroid injections and radiofrequency ablation. Tech Vasc Interv Radiol. 2009;12(1):22–32.
Jay B, Ahn SH. Vertebroplasty. Semin Intervent Radiol. 2013;30(3):297–306.
Nieuwenhuijse MJ, van Erkel AR, Dijkstra PD. Percutaneous vertebroplasty in very severe osteoporotic vertebral compression fractures: feasible and beneficial. J Vasc Interv Radiol. 2011;22(7):1017–23.
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Gopee-Ramanan, P. (2016). Musculoskeletal Intervention. In: Athreya, S. (eds) Demystifying Interventional Radiology. Springer, Cham. https://doi.org/10.1007/978-3-319-17238-5_17
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DOI: https://doi.org/10.1007/978-3-319-17238-5_17
Publisher Name: Springer, Cham
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