J Korean Soc Radiol.  2024 Jan;85(1):54-76. 10.3348/jksr.2023.0146.

Lumbar Facet Joint Injection: A Review of Efficacy and Safety

• Do Y
• Lee E
• Chee CG
• Lee JW

• KMID: 2552091
• DOI: http://doi.org/10.3348/jksr.2023.0146

Abstract

Facet joint arthrosis is a progressive degenerative disease that is frequently associated with other spinal degenerative disorders such as degenerative disc disease or spinal stenosis. Lumbar facet joint arthrosis can induce pain in the proximal lower extremities. However, symptoms and imaging findings of “facet joint syndrome” are not specific as they mimic the pain from herniated discs or nerve root compression. Currently, evidence for therapeutic intra-articular lumbar facet joint injections is still considered low, with a weak recommendation strength. Nevertheless, some studies have reported therapeutic effectiveness of facet joint injections. Moreover, the use of therapeutic facet joint injections in clinical practice has increased. This review article includes opinions based on the authors’ experience with facet joint injections. This review primarily aimed to investigate the efficacy of lumbar facet joint injections and consider their associated safety aspects.

Keyword

Zygapophyseal Joint; Spinal Injections; Compression Fractures; Low Back Pain; Spinal Stenosis; Spondylolysis