Celik Bahattin, Er Uygur, Simsek Serkan, Altug Tibet, Bavbek Murad
M.H. Diskapi Yildirim Bayezit Education and Research Hospital, Second Neurosurgery Clinic, Ankara, Turkey.
Turk Neurosurg. 2011;21(4):467-70.
Zygapophysial joints have been a well-recognized source of low back pain. This paper compares the efficacy of lumbar zygapophysial joints blockage and medical therapy in terms of pain relief, loss of working days and recurrence of pain in a population with mechanical low back pain.
80 patients suffering from low back pain were included in the study. Patients were divided into 2 groups. Patients in Group I were given diclofenac sodium, thiocolchicoside and were recommended bed rest. Patients in Group II received zygapophysial joints blockage by prilocaine, bupivacaine and methylprednisolone acetate. Both of the groups were evaluated with a Oswestry low back pain disability questionnaire and visual analog scale for pain.
Posttreatment VAS and ODQ scores were significantly lower than pretreatment scores. The decrease in these scores in Group II was greater than those of Group I.
Blockage of the lumbar facet joints is a rapid and effective way to reduce pain originating from lumbar facet joints.
关节突关节一直是公认的下腰痛来源。本文比较了腰椎关节突关节阻滞与药物治疗在缓解机械性下腰痛患者疼痛、减少工作日损失及疼痛复发方面的疗效。
80例下腰痛患者纳入本研究。患者分为2组。第一组患者给予双氯芬酸钠、硫代秋水仙碱，并建议卧床休息。第二组患者接受由丙胺卡因、布比卡因和醋酸甲基泼尼松龙进行的关节突关节阻滞。两组均采用Oswestry下腰痛残疾问卷和视觉模拟疼痛量表进行评估。
治疗后视觉模拟量表（VAS）和Oswestry功能障碍指数（ODQ）评分显著低于治疗前评分。第二组这些评分的下降幅度大于第一组。
腰椎小关节阻滞是减轻源于腰椎小关节疼痛的快速有效方法。
