Rowan Digital Works - Rowan-Virtua Research Day: Ultrasound-Guided vs. Fluoroscopy Guided Steroid Injection for Lumbar Spine Pain on Functional and Pain Outcomes: A Systematic Review
 

College

Rowan-Virtua School of Osteopathic Medicine

Keywords

Ultrasound-guided injection, Fluoroscopy-guided injection, Lumbar spine pain, Steroid injection, Oswestry Disability Index (ODI), Visual Analog Scale (VAS)

Date of Presentation

5-1-2025 12:00 AM

Poster Abstract

Fluoroscopy-guided steroid injections are standard for lumbar spine pain but involve radiation. Ultrasound offers a safer, radiation-free alternative. Ultrasound-guided injections are non-inferior in improving pain and function. A systematic review of PubMed, Embase, Cochrane, Scopus, and Web of Science was conducted. Studies in adults comparing ultrasound and fluoroscopy-guided injections reporting VAS, NRS, or ODI were included. Fifteen studies showed both techniques significantly improved pain and function, with no consistent superiority. Ultrasound-guided injections are effective and safe, providing comparable outcomes to fluoroscopy while eliminating radiation exposure.

Disciplines

Medicine and Health Sciences | Musculoskeletal Diseases | Orthopedics | Radiology | Therapeutics

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May 1st, 12:00 AM

Ultrasound-Guided vs. Fluoroscopy Guided Steroid Injection for Lumbar Spine Pain on Functional and Pain Outcomes: A Systematic Review

Fluoroscopy-guided steroid injections are standard for lumbar spine pain but involve radiation. Ultrasound offers a safer, radiation-free alternative. Ultrasound-guided injections are non-inferior in improving pain and function. A systematic review of PubMed, Embase, Cochrane, Scopus, and Web of Science was conducted. Studies in adults comparing ultrasound and fluoroscopy-guided injections reporting VAS, NRS, or ODI were included. Fifteen studies showed both techniques significantly improved pain and function, with no consistent superiority. Ultrasound-guided injections are effective and safe, providing comparable outcomes to fluoroscopy while eliminating radiation exposure.

 

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