Accuracy of the anatomic placement in ultrasonography guided facet joint blockage with supervising of C-Arm fluoroscopy

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dc.authoridSinan Erdoğan / 0000-0002-8517-3925
dc.authoridHüseyin Bahadır Gökçen / 0000-0002-5374-1166
dc.authorscopusidSinan Erdoğan / 55954339600
dc.authorscopusidHüseyin Bahadır Gökçen / 51563604200
dc.authorwosidSinan Erdoğan / GZA-9556-2022
dc.authorwosidHüseyin Bahadır Gökçen / JGW-9933-2023
dc.contributor.authorErdoğan, Sinan
dc.contributor.authorOkur, Sibel Çağlar
dc.contributor.authorAtıcı, Ayşegül
dc.contributor.authorGökçen, Hüseyin Bahadır
dc.contributor.authorPolat, Barış
dc.contributor.authorAtıcı, Yunus
dc.date.accessioned2020-08-30T20:06:44Z
dc.date.available2020-08-30T20:06:44Z
dc.date.issued2019
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractBackground: Facet joint blockage is a type of regional anesthesia which is performed selectively on the medial branch of the ramus dorsalis of the spinal nerve and is a current approach for the treatment of pain originating from facet arthropathy. This current approach to chronic low back pain caused by facet joint pathology is usually performed with ultrasound guidance. Objectives: The accuracy of anatomical placement of the facet joint with ultrasonography guidance is determined by C-arm fluoroscopy image taken as reference. Patients and Methods: A total of 22 patients who were diagnosed with facet joint syndrome were involved in the study. After detecting the superolateral corner of the facet joint, which is the target point with ultrasound, the control was provided with C-arm fluoroscopy by giving radiopaque fluid. In order to verify the localization, a mixture of 40 mg triamcinolone and 1 cc 2% lidocaine was injected. Results: Nerve blockage was applied to 67 facet joints at L3 - L4, L4 - L5 and L5 - Si level in a total of 22 patients (15 female and seven male) diagnosed with facet joint syndrome. The patients' mean age was 63 (range, 48 - 80), the mean body mass index was 28.4 (range,18.9 -38.1) and the mean time to determine facet localization with ultrasonography (USG) was 240 seconds (range,140 -320). Patients' mean visual analog scale (VAS) decreased from 7 (range, 6 - 9) to 2.5 (range, 1- 6). In the C-arm fluoroscopy control after the injection of radio-opaque material, the needle was found to be located in the lamina in four segments and it was relocated. In addition to this, two facet joints were not localized in ultrasound. This study concluded that the location of the facet joint with USG guidance is possible with 91% sensitivity and 100% positive predictive value when C-arm fluoroscopy was regarded as a gold standard in determining facet joint localization. No complications were observed. Conclusion: The results showed that ultrasonography guided facet joint block can be considered as a minimally invasive procedure that could be easily applied without radiation exposure.en_US
dc.identifier.citationErdogan, S., Okur, S. C., Atici, A., Gokcen, H. B., Polat, B., & Atici, Y. (2019). Accuracy of The Anatomic Placement In Ultrasonography Guided Facet Joint Blockage with Supervising of C-Arm Fluoroscopy. Iranian Journal of Radiology, 16(3).en_US
dc.identifier.doi10.5812/iranjradiol.84389en_US
dc.identifier.issn1735-1065en_US
dc.identifier.issn2008-2711en_US
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85068690725en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.urihttps://doi.org/10.5812/iranjradiol.84389
dc.identifier.urihttps://hdl.handle.net/20.500.12713/607
dc.identifier.volume16en_US
dc.identifier.wosWOS:000478759500003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorErdoğan, Sinanen_US
dc.institutionauthorGökçen, Hüseyin Bahadıren_US
dc.language.isoenen_US
dc.publisherKowsar Publen_US
dc.relation.ispartofIranian Journal of Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectFacet Joint Blockageen_US
dc.subjectUltrasonographyen_US
dc.subjectFluoroscopyen_US
dc.subjectLow Back Painen_US
dc.titleAccuracy of the anatomic placement in ultrasonography guided facet joint blockage with supervising of C-Arm fluoroscopyen_US
dc.typeArticleen_US

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