ArticleEuropean radiology2020
Intra-articular facet joint steroid injection-related adverse events encountered during 11,980 procedures.
Article in European radiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- The role of intra-articular injection of autologous platelet-rich plasma versus corticosteroids in the treatment of synovitis in lumbar facet joint disease.Saudi medical journal · 2022Trial
- [Percutaneous therapy for back pain : Epidural and perifacet therapies].Radiologie (Heidelberg, Germany) · 2026Review
- Article
- Impact of diabetes mellitus on spinal injection two-week outcomes in patients with predominant lower extremity pain.Skeletal radiology · 2025Article
- Image-guided injections for facet joint pain: evidence-based Delphi conjoined consensus paper from the European Society of Musculoskeletal Radiology and European Society of Neuroradiology.European radiology · 2025Article
- Post-Discectomy Infection: A Critical Review and Suggestion of a Management Algorithm.Journal of clinical medicine · 2024Review
- [Preface for Special Issue on Update in Spine Imaging].Journal of the Korean Society of Radiology · 2024Article
- [Lumbar Facet Joint Injection: A Review of Efficacy and Safety].Journal of the Korean Society of Radiology · 2024Review
- Lessons learned from examination of Canadian medico-legal cases related to interventional therapies for chronic pain management.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Article
- Interventional Pain Procedures: A Narrative Review Focusing on Safety and Complications. Part 1 Injections for Spinal Pain.Journal of pain research · 2023Review
- The Impact of Corticosteroid Injection Timing on Infection Rates Following Spine Surgery: A Systematic Review and Meta-Analysis.Global spine journal · 2022Article
- Symptomatic COVID-19 infections in outpatient image-guided corticosteroid injection patients during the lockdown phase.Skeletal radiology · 2021Article
- High spinal anaesthesia during local anaesthetic skin infiltration at the cervical facet joint.Anaesthesia reportsArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo analyze the incidence and characteristics of intra-articular facet joint injection (FJI)-related adverse events requiring hospitalization and emergency room visits.
methodsFrom January 2007 to December 2017, a total of 11,980 FJI procedures in 6066 patients (mean age 66.8 years, range 15-97 years, M:F = 2004:4062) were performed in our department. Of these, we retrospectively reviewed 489 cases in 432 patients who were hospitalized or visited the emergency room within a month of FJI. FJI-related adverse events were classified as procedure-related complications, drug-related systemic events, or uncertain etiology events, on the basis of consensus of two spine radiologists. This is a descriptive study without statistical analysis.
resultsThere were 101 FJI-related adverse event cases in 99 patients (mean age 71.8 years, range 39-97 years, M:F = 39:60). The overall incidence of FJI-related adverse events was 0.84% (101/11,980) per case and 1.63% (99/6066) per patient. The incidence of procedure-related complications and drug-related systemic adverse events was 0.07% (8/11,980) and 0.15% (18/11,980), respectively; the rate of uncertain etiology events was 0.63% (75/11,980). All eight procedure-related complication cases involved major complications. There are seven cases of infectious spondylitis and one was progression of systemic aspergillosis to the spine. One patient died of an uncontrolled infection with infective endocarditis, and two patients experienced partial recovery with neurological sequelae.
conclusionsThe overall incidence of FJI-related adverse events is low, and procedure-related major complications are rare without dural puncture or epidural hematoma. Nevertheless, infection can occur, resulting in serious outcomes. KEY POINTS: • The incidence of FJI-related adverse events requiring hospitalization or ER visit was 0.84%. • The incidence of major procedure-related complications was 0.07%. • All major complications were associated with infection and there were no cases of epidural hematoma.
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