Efficacy of therapeutic fluoroscopy-guided lumbar spine interventional procedures

PurposeTo evaluate the benefit of fluoroscopy-guided lumbar spine interventional procedures in treatment of low back pain.MethodsThis prospective descriptive study was performed on 60 patients with back/radicular pain after showing no improvement with conservative treatment.ResultsOne hundred and two injection sessions were done (average 1.7 injection per patient). Caudal and lumbar transforaminal injections were effective in 55.9% and 78.5%, respectively. Facet and sacroiliac interventions were effective in 28.3% and 10%, respectively. Complications occurred in 20% of the procedures.ConclusionLumbar injections improved pain/disability related to discogenic lumbar spinal diseases. Efficacy of facet and sacroiliac injections is limited.