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A Critical Look at the Data Supporting Ultrasound Guided Cervical Medial Branch Blocks
Author(s) -
Meredith Barad
Publication year - 2020
Language(s) - English
DOI - 10.30756/ahmj.2020.03.02
Subject(s) - medicine , critical appraisal , cervical spine , facet joint , evidence based medicine , medical physics , radiology , surgery , alternative medicine , lumbar , pathology
According to guidelines published by the American Society of Interventional Pain Physicians in 2013 ‎1, ‎2, the current evidence for cervical facet joint injections is fair. Yet the volume of these procedures continues to rise ‎3. There is a need for a more critical appraisal of the benefit, technique and adverse effects associated with cervical spine injections. The systematic review and meta-analysis by Paredes et al ‎4 seeks to better assess the evidence for use of ultrasound (US) guidance with cervical medial branch blocks. This article is also a response to a recently published critique by Schneider et al ‎5 raising concerns about the paucity of evidence evaluating the safety, accuracy, and effectiveness of US-guided cervical spine procedures.

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