CLINICAL-FEATURES OF PATIENTS WITH PAIN STEMMING FROM THE LUMBAR ZYGAPOPHYSIAL JOINTS - IS THE LUMBAR FACET SYNDROME A CLINICAL ENTITY

被引：307

作者：

SCHWARZER, AC

APRILL, CN

DERBY, R

FORTIN, J

KINE, G

BOGDUK, N

机构：

[1] Faculty of Medicine, University of Newcastle, New-castle

[2] Magnolia Diagnostics Inc., New Orleans, LA

[3] Spinecare, Daly, CA

[4] Diagnostic Conservative Management, New Orleans, LA

来源：

SPINE | 1994年 / 19卷 / 10期

关键词：

BACK PAIN; ZYGAPOPHYSIAL JOINT; LOCAL ANESTHETICS; PREVALENCE; CLINICAL SIGNS;

D O I：

10.1097/00007632-199405001-00006

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Study Design. This study is a prospective cross-sectional analytic study. Objectives. The authors determined the prevalence and clinical features of patients with pain stemming from the lumbar zygapophysial joints. Summary of Background Data. Previous studies have demonstrated a wide range of prevalence for zygapophysial joint pain and conflicting results with regard to clinical signs. Methods. One hundred and seventy-six consecutive patients with chronic low back pain were investigated with a series of screening zygapophysial joint blocks using lignocaine and confirmatory blocks using bupivacaine. Results. Forty-seven percent of patients had a definite or greater response to the screening injection at one or more levels but only 15% had a 50% or greater response to a confirmatory block. Response to zygapophysial joint injection was not associated with any single clinical feature or set of clinical features. Conclusions. The zygapophysial joint is an important source of pain but the existence of a ''facet syndrome'' must be questioned.

引用

页码：1132 / 1137

页数：6

共 38 条

[31]

Rashbaum R.F., Radiofrequency facet denervation. A treatment alternative in refractory low back pain with or without leg pain, Orthop Clin North Am, 14, pp. 569-575, (1983)

[32]

Raymond J., Dumas J., Intraarticular facet block: Diagnostic test or therapeutic procedure?, Radiology, 151, pp. 333-336, (1984)

[33]

Rees W., Multiple bilateral subcutaneous rhizolysis of segmental nerves in the treatment of the intervertebral disc syndrome, Ann Gen Pract, 16, pp. 126-127, (1971)

[34]

Revel M.E., Listrat V.M., Chevalier X.J., Et al., Facet joint block for low back pain: Identifying predictors of a good response, Arch Phys Med Rehabil, 73, pp. 824-828, (1992)

[35]

Schwarzer A.C.C.N.R.J., Kine A., Bogduk M., The false-positive rate of uncontrolled diagnostic blocks of the lumbar zygapophysial joints, Pain

[36]

Schwarzer A.C., Wang S., Laurent R., McNaught P., Brooks P.M., The role of the zygapophysial joint in chronic low back pain, Aust NZ J Med, 185, (1992)

[37]

Shealy C.N., Facet denervation in the management of back pain, Clin Orthop, 115, pp. 157-164, (1976)

[38]

Twomey L.T., Taylor J.R., Taylor M.M., Unsuspected damage to lumbar zygapophyseal (Facet) joints after motor-vehicle accidents, Med J Aust, 151, pp. 210-217, (1989)

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