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@article{2278257,
author = {Varga, Michal and Kantorová, Lucia and Langaufová, Alena and Stulik, Jan and Lancova, Lucie and Srikandarajah, Nisaharan and Kaiser, Radek},
article_location = {NEW YORK},
article_number = {May 2023},
doi = {http://dx.doi.org/10.1016/j.wneu.2023.02.058},
keywords = {Degenerative disc disease; Facet block; Nuclear medicine; SPECT; Spinal fusion},
language = {eng},
issn = {1878-8750},
journal = {WORLD NEUROSURGERY},
title = {Role of Single-Photon Emission Computed Tomography Imaging in the Diagnosis and Treatment of Chronic Neck or Back Pain Caused by Spinal Degeneration: A Systematic Review},
url = {https://www.sciencedirect.com/science/article/pii/S1878875023002085?via%3Dihub},
volume = {173},
year = {2023}
}
TY - JOUR
ID - 2278257
AU - Varga, Michal - Kantorová, Lucia - Langaufová, Alena - Stulik, Jan - Lancova, Lucie - Srikandarajah, Nisaharan - Kaiser, Radek
PY - 2023
TI - Role of Single-Photon Emission Computed Tomography Imaging in the Diagnosis and Treatment of Chronic Neck or Back Pain Caused by Spinal Degeneration: A Systematic Review
JF - WORLD NEUROSURGERY
VL - 173
IS - May 2023
SP - 65-78
EP - 65-78
PB - ELSEVIER SCIENCE INC
SN - 18788750
KW - Degenerative disc disease
KW - Facet block
KW - Nuclear medicine
KW - SPECT
KW - Spinal fusion
UR - https://www.sciencedirect.com/science/article/pii/S1878875023002085?via%3Dihub
N2 - -BACKGROUND: Chronic neck or back pain is a common clinical problem. The most likely cause is degenerative change, whereas other causes are relatively rare. There is increasing evidence on using hybrid single-photon emission computed tomography (SPECT) to identify the pain generator in spine degener-ation. This systematic review explores the diagnostic and therapeutic evidence on chronic neck or back pain examined by SPECT.-METHODS: This review is reported in accordance with the PRISMA guide-lines. In October 2022, we searched the following sources: MEDLINE, Embase, CINAHL, SCOPUS, and 3 other sources. Titles and abstracts were screened and classified into diagnostic studies, facet block studies, and surgical studies. We synthesized the results narratively.-RESULTS: The search yielded 2347 records. We identified 10 diagnostic studies comparing SPECT or SPECT/computed tomography (CT) with magnetic resonance imaging, CT, scintigraphy, or clinical examination. Furthermore, we found 8 studies comparing the effect of facet block intervention in SPECT-positive and SPECT-negative patients with cervicogenic headache, neck pain, and lower back pain. Five surgical studies describing the effect of fusion for facet arthropathy in the craniocervical junction, subaxial cervical spine, or the lumbar spine were identified.-CONCLUSIONS: According to the available literature, a positive finding on SPECT in facet arthropathy is associated with a significantly higher facet blockade effect. Surgical treatment of positive findings has a good effect, but this has not been confirmed by controlled studies. SPECT/CT might therefore be a useful method in the evaluation of patients with neck or back pain, especially in cases of unclear findings or multiple degenerative changes.
ER -
VARGA, Michal, Lucia KANTOROVÁ, Alena LANGAUFOVÁ, Jan STULIK, Lucie LANCOVA, Nisaharan SRIKANDARAJAH and Radek KAISER. Role of Single-Photon Emission Computed Tomography Imaging in the Diagnosis and Treatment of Chronic Neck or Back Pain Caused by Spinal Degeneration: A Systematic Review. \textit{WORLD NEUROSURGERY}. NEW YORK: ELSEVIER SCIENCE INC, 2023, vol.~173, May 2023, p.~65-78. ISSN~1878-8750. Available from: https://dx.doi.org/10.1016/j.wneu.2023.02.058.
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