Medical Specialty:
Pain Management
Sample Name: Lumbar Facet Injections
Description: Lumbar facet injections done under fluoroscopic control. Lumbar spondylosis.
(Medical Transcription Sample Report)
PREOPERATIVE DIAGNOSIS: Lumbar spondylosis.
POSTOPERATIVE DIAGNOSIS: Lumbar spondylosis.
OPERATION PERFORMED: Lumbar facet injections done under fluoroscopic control.
ANESTHESIA: Local and IV.
COMPLICATIONS: None.
After each facet joint was identified and marked, local anesthesia was infiltrated subcutaneously and deep over each of the identified facets. A 22-gauge spinal needle was then utilized to cannulate the facet joint under fluoroscopic control utilizing a gun barrel technique. After negative aspiration, 0.25 - 0.5 cc of Omnipaque 240 contrast media was injected into the facet as an arthrogram to visualize the joint and the capsule. After another negative aspiration, 1cc of a 10cc solution of Marcaine 0.5% and 100 milligrams of methyl prednisolone acetate was injected into each facet. The patient tolerated the procedure well without apparent difficulty or complication unless otherwise noted.
Keywords: pain management, fluoroscopic control, c-arm, lumbar facet injections, lumbar spondylosis, fluoroscopy, spondylosis, fluoroscopic, lumbar, injections, facet,