20.500.12556/DiRROS-24690 Image-guided injections for facet joint pain evidence-based Delphi conjoined consensus paper from the European Society of Musculoskeletal Radiology and European Society of Neuroradiology Objectives: To perform a Delphi-based consensus on published evidence on image-guided injections for facet joint pain (FJP) and provide clinical indications. Methods: We report the results of an evidence-based Delphi consensus of 38 experts from the European Society of Musculoskeletal Radiology and the European Society of Neuroradiology, who reviewed the published literature for evidence on image-guided injections for FJP. Experts drafted a list of statements and graded them according to the Oxford Centre for evidence-based medicine levels of evidence. Consensus was considered strong when ≥ 95% of experts agreed with the statement or broad when > 80% but < 95% agreed. The results of the consensus were used to write the paper. Results: Twenty statements on image-guided FJP treatment have been drafted. Eighteen statements received strong consensus, while two received broad consensus. Three statements reached the highest level of evidence, all of them regarding the lumbar spine. All radiological methods are used for image-guided injections for FJP, and regardless of the radiological method used, all show good safety and efficacy. Facet joint injections and medial branch blocks are used in all spinal regions to treat FJP, and both show similar clinical outcomes. Advanced technological solutions have been studied in the field of lumbar FJP; however, the level of evidence for these is low. Conclusion: Despite promising results reported by published papers on image-guided injections for FJP, there is still a lack of evidence on injection efficacy, appropriateness of imaging methods, and optimal medication. spine facet joints interventional radiology injection Delphi process true false true Angleški jezik Ni določen Neznano 2025-12-12 13:11:51 2025-12-12 13:11:52 2025-12-13 03:51:08 0000-00-00 00:00:00 2025 0 0 Nasl. z nasl. zaslona; Opis vira z dne 6. 11. 2025; str. 6958–6966 issue 11 Vol. 35 2025 0000-00-00 Zaloznikova Objavljeno apc 0000-00-00 0000-00-00 0000-00-00 616-07 1432-1084 10.1007/s00330-025-11651-9 256133635 RAZ_Sconfienza_Luca_Maria_2025.pdf RAZ_Sconfienza_Luca_Maria_2025.pdf 1 571AD4E7F58A55F80FF3BE053FD64C37 bf6be2a6cde4f6fcdf83d65781fe13339a128d835efe74801bce11b041f5fe53 dfd78322-d753-11f0-94a7-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=36867 https://link.springer.com/article/10.1007/s00330-025-11651-9 0 f0b9e71d-d753-11f0-94a7-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=36868 Univerzitetni klinični center Ljubljana 0 0 0