Elena Massone1, Davide Orlandi2, Alberto Bellelli3, Fabio Martino4, Luca Cavagnaro5, Matteo Formica5, Pietro Caruso6, Enzo Silvestri6. 1. Department of Radiology, Genoa University, Genoa, Italy. 2. Diagnostica per Immagini e Ecografia Interventistica, Ospedale Evangelico Internazionale, Corso Solferino 1a, 16122, Genoa, Italy. my.davideorlandi@gmail.com. 3. Radiologia Diagnostica ed Interventistica Ospedale San Pietro Fatebenefratelli, Rome, Italy. 4. Radiologia Ambulatoriale, ASL BA, Bari, Italy. 5. Clinica Ortopedica, IRCCS Azienda Ospedaliera Universitaria San Martino, Genoa, Italy. 6. Diagnostica per Immagini e Ecografia Interventistica, Ospedale Evangelico Internazionale, Corso Solferino 1a, 16122, Genoa, Italy.
Abstract
AIMS AND OBJECTIVES: The aim of the current study is to present our experience in lumbar spine interventional procedures performed with a newly developed multimodal echo-navigator (EcoNav) and to evaluate short-term clinical outcomes of a series of patients affected by facet joint disease (FJD) treated with steroid and anaesthetic injection under fusion-imaging guidance, compared to a cohort of patients that received the same treatment under computed tomography (CT) guidance. METHODS: Sixty-five consecutive patients (34 females; mean age 68.3 ± 12.8 years) with a clinical diagnosis of non-radicular low back pain lasting for more than 6-weeks and magnetic resonance (MR) or CT confirmed FJD were enrolled for image-guided FJI. Twenty-eight patients underwent FJI with fusion-guided technique, while CT-guided procedures were performed in the other cases. Clinical and procedural data were recorded and compared at a mean follow-up of 6.1 ± 2.0 months. RESULTS: A significant improvement in clinical parameters was observed for both fusion-guided and CT-guided group. Comparing both groups, no statistically significant difference could be detected neither at baseline conditions nor during the follow-up period. No significant periprocedural complication occurred in both groups. A satisfaction rate of 92.3 and 81.1% was reported for fusion-guided and CT-guided group, respectively. CONCLUSION: EcoNav fusion-imaging system represents a safe, feasible, effective and reproducible guidance option in FJD infiltration procedures, also avoiding use of ionising radiations.
AIMS AND OBJECTIVES: The aim of the current study is to present our experience in lumbar spine interventional procedures performed with a newly developed multimodal echo-navigator (EcoNav) and to evaluate short-term clinical outcomes of a series of patients affected by facet joint disease (FJD) treated with steroid and anaesthetic injection under fusion-imaging guidance, compared to a cohort of patients that received the same treatment under computed tomography (CT) guidance. METHODS: Sixty-five consecutive patients (34 females; mean age 68.3 ± 12.8 years) with a clinical diagnosis of non-radicular low back pain lasting for more than 6-weeks and magnetic resonance (MR) or CT confirmed FJD were enrolled for image-guided FJI. Twenty-eight patients underwent FJI with fusion-guided technique, while CT-guided procedures were performed in the other cases. Clinical and procedural data were recorded and compared at a mean follow-up of 6.1 ± 2.0 months. RESULTS: A significant improvement in clinical parameters was observed for both fusion-guided and CT-guided group. Comparing both groups, no statistically significant difference could be detected neither at baseline conditions nor during the follow-up period. No significant periprocedural complication occurred in both groups. A satisfaction rate of 92.3 and 81.1% was reported for fusion-guided and CT-guided group, respectively. CONCLUSION: EcoNav fusion-imaging system represents a safe, feasible, effective and reproducible guidance option in FJD infiltration procedures, also avoiding use of ionising radiations.
Authors: Jonathan Stieber; Martin Quirno; Mary Cunningham; Thomas J Errico; John A Bendo Journal: Spine (Phila Pa 1976) Date: 2009-11-01 Impact factor: 3.468
Authors: R C Rouchy; A Moreau-Gaudry; E Chipon; S Aubry; L Pazart; B Lapuyade; M Durand; M Hajjam; S Pottier; B Renard; R Logier; X Orry; A Cherifi; E Quehen; G Kervio; O Favelle; F Patat; E De Kerviler; C Hughes; M Medici; J Ghelfi; A Mounier; I Bricault Journal: Trials Date: 2017-07-06 Impact factor: 2.279