MRI analysis of the lumbar spine: Can it predict response to diagnostic and therapeutic facet procedures?

Milan P. Stojanovic, Jai Sethee, Meraj Mohiuddin, Jianguo Cheng, Amanda Barker, Jing Wang, William Palmer, Ambrose Huang, Steven Cohen

Research output: Contribution to journalArticle

Abstract

Objectives: To determine the correlation between magnetic resonance imaging (MRI) pathology and the response to diagnostic facet medial branch block (MBB) and L5 dorsal ramus medial branch block and radiofrequency (RF) denervation of lumbar facet joints. Methods: The medical records of 127 consecutive patients who underwent MBB for suspected zygapophysial joint pain were reviewed. The lumbar spine MRI of these patients was systematically graded by 2 musculoskeletal radiologists for loss of disc height, spinal stenosis, facet joint degeneration, and other forms of spinal pathology. Results: Patients with central or foraminal spinal stenosis had statistically significant correlation with positive outcome of RF (P=0.02), but not with MBB (P=0.08). The presence of facet joint degeneration or hypertrophy was positively correlated with response to MBB (71% vs. 51%; P=0.04), but not RF. Loss of disc height did not correlate with outcome of MBB (P=0.08) and RF (P=0.29). For other spinal pathology, no significant differences were noted for either the response to diagnostic blocks or the RF denervation. Younger patients were more likely to fail MBB (P

Original languageEnglish (US)
Pages (from-to)110-115
Number of pages6
JournalClinical Journal of Pain
Volume26
Issue number2
DOIs
StatePublished - Feb 2010

Fingerprint

Zygapophyseal Joint
Spine
Magnetic Resonance Imaging
Spinal Stenosis
Denervation
Pathology
Arthralgia
Therapeutics
Hypertrophy
Medical Records

Keywords

  • Facet
  • MRI
  • RF denervation
  • Spinal stenosis
  • Zygapophysial joint

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology

Cite this

MRI analysis of the lumbar spine : Can it predict response to diagnostic and therapeutic facet procedures? / Stojanovic, Milan P.; Sethee, Jai; Mohiuddin, Meraj; Cheng, Jianguo; Barker, Amanda; Wang, Jing; Palmer, William; Huang, Ambrose; Cohen, Steven.

In: Clinical Journal of Pain, Vol. 26, No. 2, 02.2010, p. 110-115.

Research output: Contribution to journalArticle

Stojanovic, MP, Sethee, J, Mohiuddin, M, Cheng, J, Barker, A, Wang, J, Palmer, W, Huang, A & Cohen, S 2010, 'MRI analysis of the lumbar spine: Can it predict response to diagnostic and therapeutic facet procedures?', Clinical Journal of Pain, vol. 26, no. 2, pp. 110-115. https://doi.org/10.1097/AJP.0b013e3181b8cd4d
Stojanovic, Milan P. ; Sethee, Jai ; Mohiuddin, Meraj ; Cheng, Jianguo ; Barker, Amanda ; Wang, Jing ; Palmer, William ; Huang, Ambrose ; Cohen, Steven. / MRI analysis of the lumbar spine : Can it predict response to diagnostic and therapeutic facet procedures?. In: Clinical Journal of Pain. 2010 ; Vol. 26, No. 2. pp. 110-115.
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