Abstract
Objective
To review the literature and assess the comparative effectiveness of ultrasound-guided
(USG) versus computed tomography (CT)–/fluoroscopy-guided lumbar facet joint injections
in adults.
Data Sources
PubMed, Ovid MEDLINE, Ovid Embase, EBSCO, and Web of Science.
Study Selection
Randomized or nonrandomized controlled trials comparing the clinical effectiveness
between USG and CT-/fluoroscopy-guided injection techniques in patients with facet
syndrome were included.
Data Extraction
Two reviewers independently screened abstracts and full texts. The results of the
mean procedure duration, decreased pain score, and Modified Oswestry Disability score
after treatment were extracted and presented in the form of mean ± SD.
Data Synthesis
There were 103 records screened; 3 studies were included, with a total of 202 adults
with facet joint pain. There was no statistically significant difference between the
2 groups in pain score and Modified Oswestry Disability score after injection (weighted
mean difference [WMD], .07; 95% confidence interval [CI], −.51 to .65; P=.80; I2=78%; WMD, −.55; 95% CI, −1.31 to .22; P=.16; I2=0%, respectively). There was also no statistically significant difference in the
mean procedure duration between the 2 groups (standardized mean difference [SMD],
.97; 95% CI, −1.01 to 2.94; P=.34; I2=97%).
Conclusions
This review suggested that no significant differences in pain and functional improvement
were noted between the USG and CT-/fluoroscopy-guided techniques in facet joint injection.
USG injection is feasible and minimizes exposure of radiation to patients and practitioners
in the lumbar facet joint injection process.
List of abbreviations:
CI (confidence interval), CT (computed tomography), RCT (randomized controlled trial), SMD (standardized mean difference), USG (ultrasound-guided), WMD (weighted mean difference)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: December 16, 2015
Footnotes
Disclosures: none.
Identification
Copyright
© 2016 by the American Congress of Rehabilitation Medicine
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- Retraction notice to ”Electrical Stimulation for Hemiplegic Shoulder Function: A Systematic Review and Meta-Analysis of 15 Randomized Controlled Trials“ [Arch Phys Med Rehabil. 97 (2016) 1588-94]Archives of Physical Medicine and RehabilitationVol. 98Issue 9
- PreviewThis article has been retracted: please see Elsevier Policy on Article Withdrawal ( https://www.elsevier.com/about/our-business/policies/article-withdrawal ). This article has been retracted at the request of the co-Editors-in-Chief. The article plagiarizes a paper that was published in BioMed Research International, Volume 2015 (2015), Article ID 729768, 14 pages, http://dx.doi.org/10.1155/2015/729768 . Nearly the entire introduction and sections of the methods, limitations and conclusions duplicate the BioMed Research International paper.
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