Facet Joint Injections - Paul Jairaj 31/5/2001

Author

 Lilius.G (Helsinki University Central Hospital)

Title

 Lumbar Facet Syndrome

Reference

 JBJS(B) 71(4):681-4, 1989 Aug

Summary

109 pats randomised to 3 groups-L/A+steroid into facet joint;        L/A+steroid around facet joint; Saline into facet joint

No diff between gps. 68% initial relief down to 36% at 3/12

Critique

 27 prev disc surg/ 8mls injected/ 3 month FU

Author

 Jackson R (North Kansas City Hospital)

Title

 The Facet Syndrome Myth or Reality

Reference

 CORR (279):110-21, 1992 Jun

Summary

3 studies-A: L/A+steroid=90% No response. B: L/A+steroid vs Saline=No diff between gps. C: Response to FJ injection not a predictor of Fusion success.

Critique

B and C 25 and 36 pats resp/A had only 15/52 of pain symps.