Lumbar radiculopathy after zygapophyseal joint injection.
We report a case of lumbar radiculopathy after zygapophyseal joint injections for chronic low back pain. The management of the patient and potential causes for the radiculopathy are discussed. The case acts as a reminder that the spinal nerve roots should be considered when performing intra-articular facet joint injections and demonstrates the importance of including nerve injury in the patient consent process as a rare, but significant complication.
Sehgal
A
A
Department of Anaesthesia, Norfolk and Norwich University Hospital, Norwich NR4 7UY, UK. arunsehgal2k@yahoo.com
Valentine
J M J
JM
D000368:Aged; D002045:Bupivacaine / Q000008:administration & dosage; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D007270:Injections, Intra-Articular / Q000009:adverse effects; D017116:Low Back Pain / Q000188:drug therapy*; D008159:Lumbar Vertebrae; D008775:Methylprednisolone / Q000627:therapeutic use; D011843:Radiculopathy / Q000209:etiology*; D013126:Spinal Nerve Roots / Q000293:injuries; D021801:Zygapophyseal Joint
D008775:Methylprednisolone; D002045:Bupivacaine