J Korean Orthop Assoc.  2020 Jun;55(3):210-221. 10.4055/jkoa.2020.55.3.210.

Considerations for Fluoroscopic Guided Intervention in Lumbar Spine

• Kim DH
• Song KS

• KMID: 2502615
• DOI: http://doi.org/10.4055/jkoa.2020.55.3.210

Abstract

Spinal block procedures are useful methods that reduce the need for surgical treatment. In addition to their therapeutic aspects of pain relief, in many patients, they are also used for diagnostic purposes to distinguish from symptoms originating from extra-spinal areas. Therefore, these procedures are the most basic technique for orthopedic surgeons dealing with diseases from limbs and spine. On the other hand, despite the simplicity of the instruments and drugs used, the overall understanding of them and the lack of knowledge of the possible side effects and complications can cause serious harm to the patient at the beginning of the trial. Therefore, it is necessary to understand the types of drugs used in the spinal block procedures, pharmacokinetic properties, and the side effects of each drug. In addition, efforts should be made to identify their indications, as well as advantages and disadvantages of each procedure to avoid possible complications. The purpose of this review was to provide basic knowledge and skills necessary for lumbar spinal block procedures as well as provide the reader with the ability to perform themselves.

Keyword

fluoroscopy; lumbar spine; nerve block; degenerative disease