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Spinal Injections

Topic Summary

Spinal injections are usually performed after appropriate non-surgical treatments have been given a fair trial and have not provided adequate relief. The injection is performed under X-ray guidance, (fluoroscopy). This allows visualization of the spine to ensure accurate needle placement; contrast agents may also be used to assist in needle placement. Spinal injections are intended to provide relief by injecting a local anesthetic and/or an anti-inflammatory agent, typically into spinal joints or the space around the spinal nerves and joints. Significant questions remain about the safety, efficacy and effectiveness (particularly long term), and the cost effectiveness of SI.

Primary Criteria Ranking

Safety = Low
Efficacy = Med
Cost = Med

Documents

Key Questions (68.6 KB)
Updated Final Evidence Report (3.2 MB)
Peer Review, Public Comments and Responses (3.5 MB)
Findings and Decision (322 KB)