The Technique of Intradiscal Injection: A Narrative Review.

摘要: Background Low back pain (LBP) is one of the most common spine diseases and represents frequent cause absence from work in developed countries. Approximately 40% chronic LBP related to discogenic origin. The goal study producing a review literature describe analytically techniques intradiscal injections. Methods PubMed database was searched for clinical studies with different key terms: "intradiscal", "injection", "steroid" "procedures", "techniques", "CT", "MRI", "fluoroscopy", "fluoroscopic", "guidance", "ozone", "ultrasound", "images". Only written English, French, or Italian which injection main procedure low discopathy treatment on humans were considered. We excluded articles that do not mention this procedure; those indicated had happened accidentally during other treatments; reporting patient's determined by causes than (facet joint syndrome, tumor, spondylodiscitis). Results Thirty-one dated 1969 2018 met criteria. examined population 6843 subjects, 52.3% male 47.7% female, mean age 45.9±10.1 years. are highly variable terms procedure: operators, needle guidance, sites, drugs, tilt angle needle). Conclusion efficacy safety procedures easily comparable due types their limited number. Further needed standardize technique/procedure improve safety, repeatability effectiveness, last but least reduce peri- postoperative care health-care costs.