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  • Title: Fluoroscopically guided lumbar facet joint injection using an interlaminar approach and loss of resistance technique.
    Author: Huang AJ.
    Journal: Skeletal Radiol; 2016 May; 45(5):671-6. PubMed ID: 26825995.
    Abstract:
    PURPOSE: To describe a new technique for performing fluoroscopically guided lumbar facet joint injections using an interlaminar approach and loss-of-resistance technique and to report the initial success rate of this technique in a small series of patients. MATERIALS AND METHODS: The institutional radiology database was retrospectively reviewed to identify patients who underwent fluoroscopically guided lumbar facet joint injections. Between 1 May 2014 and 31 October 2015, one radiologist attempted fluoroscopically guided lumbar facet joint injections using an interlaminar approach and loss-of-resistance technique in ten severely osteoarthritic facet joints (4 patients). Patient demographics, facet joint side and level, and whether or not an intra-articular facet joint injection was achieved were recorded. RESULTS: Intra-articular injection was achieved using the interlaminar approach and loss-of-resistance technique in five facet joints. CONCLUSION: Fluoroscopically guided lumbar facet joint injection using an interlaminar approach and loss-of-resistance technique is an alternative approach to a direct posterior facet joint injection and may be particularly useful for severely osteoarthritic facet joints, where bulky osteophytes and/or extreme curvature of the joints in the transverse plane threaten to preclude direct posterior access to the joints.
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