J 2023

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

VARGA, Michal, Lucia KANTOROVÁ, Alena LANGAUFOVÁ, Jan STULIK, Lucie LANCOVA et. al.

Základní údaje

Originální název

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

Autoři

VARGA, Michal (203 Česká republika, garant), Lucia KANTOROVÁ (703 Slovensko, domácí), Alena LANGAUFOVÁ (203 Česká republika, domácí), Jan STULIK (203 Česká republika), Lucie LANCOVA (203 Česká republika), Nisaharan SRIKANDARAJAH a Radek KAISER (203 Česká republika)

Vydání

WORLD NEUROSURGERY, NEW YORK, ELSEVIER SCIENCE INC, 2023, 1878-8750

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30210 Clinical neurology

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 2.000 v roce 2022

Kód RIV

RIV/00216224:14110/23:00130668

Organizační jednotka

Lékařská fakulta

UT WoS

000955298900001

Klíčová slova anglicky

Degenerative disc disease; Facet block; Nuclear medicine; SPECT; Spinal fusion

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 27. 4. 2023 13:55, Mgr. Tereza Miškechová

Anotace

V originále

-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.