Table 3.
Results from 342 fluoroscopically guided spine infiltrations with significant pain relief ≥50% following total lumbar disc replacement in n = 175 patients
| Fluoroscopically guided spine infiltrations (structure) | Number of infiltrations performed (total) | Class 1 pain relief (50–75%) | Class 2 pain relief (75–100%) | Incidence of posterior pain-[combined data (% of all patients)] |
|---|---|---|---|---|
| Facet joints L3/4 | n = 13 | n = 1 | n = 1 (0.6%) | |
| Facet joints L4/5 | n = 51 | n = 3 | n = 3 (1.7%) | |
| Facet joints L5/6 | n = 2 | n = 1 | n = 1 (0.6%) | |
| Facet joints L5/S1 | n = 90 | n = 12 | n = 5 | n = 17 (9.7%) |
| Facet joints L6/S1 | n = 1 | |||
| ISJ | n = 105 | n = 15 | n = 6 | n = 21 (12.0%) |
| ILL | n = 15 | n = 0 | n = 0 | n = 0 (0%) |
| Interspinous inf. L3/4 | n = 9 | n = 1 | n = 1 (0.6%) | |
| Interspinous inf. L4/5 | n = 16 | n = 2 | n = 1 | n = 3 (1.7%) |
| Interspinous inf. L5/S1 | n = 10 | |||
| Epidural infiltration L3/4 | n = 3 | |||
| Epidural infiltration L4/5 | n = 10 | n = 1 | n = 1 (0.6%) | |
| Epidural infiltration L5/S1 | n = 3 | |||
| Selective nerve root infiltration L4 | n = 2 | |||
| Selective nerve root infiltration L5 | n = 9 | n = 1 | n = 1 | n = 2 (1.1%) |
| Selective nerve root infiltration S1 | n = 2 | |||
| Caudal epidural infiltration | n = 1 | |||
| Total (facet joint pain) | n = 18 | n = 4 | n = 22 (12.6%) | |
| Total (ISJ pain) | n = 15 | n = 3 | n = 21 (12.0%) | |
| Total (facet + ISJ pain) | n = 33 | n = 7 | n = 43 (24.5%) | |
| Total posterior joint pain (combined data all infiltrations) | n = 38 | n = 8 | n = 41a (23.4%) |
ISJ Iliosacral joint, ILL iliolumbar ligaments
aPatients with multiple-diagnosed pain structures (e.g. facet and ISJ pain) only counted once