使用放射学图像来描述S1/S2和SI关节注射的插入角度:一个回顾性观察性研究
Jason L Chang1, Ajay K Patel1, Devas J Modi1
1Department of Rehabilitation & Regenerative Medicine, NewYork-Presbyterian Hospital- University Hospital of Columbia and Cornell, New York, NY, USA.
Interventional pain medicine
|September 6, 2024
概括
这项研究确定了S1/S2跨关节和SI关节注射的最佳针插角度,这对于治疗慢性腰部疼痛至关重要. 调查结果为这些常见的疼痛手术中准确放置针头提供了必要的数据.
科学领域:
- 疼痛医学 医学 疼痛医学
- 放射学 放射学是一门学科.
- 人体解剖学 解剖学 解剖学
背景情况:
- 关节 (SI) 关节和S1/S2神经根病理是导致腰部疼痛的常见原因.
- 目前的文献缺乏关于S1/S2转关节和SI关节注射的最佳针插入角度的证据.
- 精确的针头放置对于疼痛干预措施的有效性和安全性至关重要.
研究的目的:
- 描述S1/S2跨关节和SI关节注射针插入的起始角度.
- 为改善疼痛管理过程中的程序准确性提供解剖学数据.
- 为了确定针对特定神经结构的参考角度.
主要方法:
- 在成年患者中,使用腰椎神经脊柱CT放射的回顾性观察性研究.
- 分析了64名没有显著神圣病理的患者.
- 确定S1/S2神经和SI关节扩张的解剖标志.
- 使用图像注释工具计算平均针插入角度.
主要成果:
- 确定了平均插入角度:S1的25°,S2的34°,SI关节注射的33°.
- 根据横向,性别,年龄或BMI,没有发现角度的统计学上显著差异.
- 具体的角度被描述为相对于正方形的圣座末端板的斜面或斜面斜面.
结论:
- 建立了针对S1/S2神经孔和SI关节的平均针插入角度.
- 这些发现代表了程序指导当前文献中的新数据.
- 鉴定的角度可以帮助临床医生在疼痛注射中实现精确的针位置.
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