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Efficacy and Accuracy of Ultrasound Guided Injections in the Treatment of Cervical Facet Joint Syndrome: A Systematic Review.
Viva, Mattia Giuseppe; Sveva, Valerio; Ruggiero, Marco; Fai, Annatonia; Savina, Alessio; Perrone, Riccardo; Donati, Danilo; Tedeschi, Roberto; Monticone, Marco; Farì, Giacomo; Bernetti, Andrea.
Afiliación
  • Viva MG; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University, 00189 Rome, Italy.
  • Sveva V; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University, 00189 Rome, Italy.
  • Ruggiero M; Physical and Rehabilitation Medicine 2, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.
  • Fai A; Department of Translational Biomedicine and Neuroscience (DiBraiN), Aldo Moro University, 70121 Bari, Italy.
  • Savina A; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University, 00189 Rome, Italy.
  • Perrone R; Unit of Physical Medicine and Rehabilitation, Sant'Andrea Hospital, "Sapienza" University of Rome, 00189 Rome, Italy.
  • Donati D; Clinical and Experimental Medicine PhD Program, University of Modena and Reggio Emilia, 41125 Modena, Italy.
  • Tedeschi R; Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum University, 40126 Bologna, Italy.
  • Monticone M; Department of Surgical Sciences, University of Cagliari, 09124 Cagliari, Italy.
  • Farì G; Department of Experimental Medicine (Di.Me.S.), University of Salento, 73100 Lecce, Italy.
  • Bernetti A; Department of Experimental Medicine (Di.Me.S.), University of Salento, 73100 Lecce, Italy.
J Clin Med ; 13(17)2024 Sep 06.
Article en En | MEDLINE | ID: mdl-39274505
ABSTRACT
Background/

Objectives:

Cervical facet joint syndrome (CFJS) is a frequent cause of neck pain and motor disability. Among the available therapies for CFJS, ultrasound (US)-guided injections are becoming more and more widespread, but the evidence about their accuracy and effectiveness is still debated in the scientific literature. The aim of this systematic review is to assess efficacy, accuracy and feasibility of US-guided cervical facet injections for the related chronic neck pain treatment.

Methods:

This review was conducted following the preferred reporting items for systematic reviews and meta-analysis 2020 (PRISMA) statement guidelines. The scientific articles were identified through the PubMed, Google Scholar and Cochrane Library databases. Qualitative assessment of the selected studies was carried out using the modified Oxford quality scoring system. Nine studies with a total of 958 patients were included in this review. The risk of bias was assessed using the Cochrane Collaboration tool. The protocol was registered at PROSPERO 2024 (n°CRD42024512214).

Results:

The results of this review suggest that the US-guided cervical facet injection for CFJS treatment is an effective technique in terms of accuracy (using the lateral technique it ranges from 92% to 98%), and efficiency (it grants pain relief with a decrease in the procedure time and fewer needle passes in comparison with the X-ray-guided technique, which also involves radiation exposure).

Conclusions:

US-guided injections are a safe and effective method to treat this musculoskeletal disease, granting a high functional recovery and long-lasting pain relief, net of the used drugs. However, these procedures are strictly operator-dependent and require important training to acquire good expertise.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Clin Med Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Suiza