Can MRI scans predict who benefits from spine injections?
NCT ID NCT03304730
First seen Oct 07, 2026 · Last updated Oct 08, 2026 · Updated 1 time
Summary
Researchers follow adults with low back pain caused by arthritis in the small facet joints of the spine. Everyone receives an injection of corticosteroid and anesthetic into those joints. The team tracks pain, function, and quality of life for months and checks whether MRI findings or personal traits predict who improves.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- a mix of corticosteroid and anesthetic injected into the facet joints of the spine
- What this could lead to
- If certain MRI findings or patient traits predict who responds, doctors could one day choose facet joint injections more precisely for people with low back pain from facet arthritis.
- What could go wrong
- This is an observational cohort, so it can show links but not prove cause. Results from 147 Portuguese-speaking adults may not apply to everyone, and injections do not help all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 147 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2017
- Expected to finish
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Dec 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
All patients seen at the spine outpatient clinic of a tertiary hospital with clinical diagnosis of low back pain of facet origin will be eligible to participate in the study
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion criteria The following are inclusion criteria for participants: * Older than 18 years; * Fluent or native Portuguese language speaker; * Continuous or intermittent low back pain for at least three months; * Low back pain with or without irradiation to the gluteal region indicating facet syndrome (pain is aggravated by spine extension or bending toward the affected side; pain is exacerbated by prolonged sitting or walking up steps, as well as retaining one position for a prolonged time); * Failure of traditional treatment includes, but is not limited to, physical or drug therapy; * Understand the purpose of the study; * Voluntarily provide a free and informed consent form, by themselves or through their partners, and complete the questionnaires, before undergoing infiltration, over the telephone or online during the follow-up. Exclusion criteria The following are exclusion criteria for participants: * Younger than 18 years old, * Symptomatic lumbar spinal stenosis with claudication or radiculopathy; * Evidence of radiculopathy; * Active rheumatologic diseases; * Congenital or acquired deformities of the lumbar spine; * Fracture or sequel of lumbar spine fracture of traumatic, pathological or osteoporotic origin; * Surgical manipulation of the lumbar spine; * MRI scans of limited quality and incomplete sequences; * Treated with systemic steroids less than one month before the IFI; * Treated with IFI with steroids within the last six months; * Diagnosed with uncontrolled diabetes mellitus; * History of allergy to anesthetics or adverse reaction to steroids; * Pregnant women or women who breastfed; * Who could not be contacted over the phone during follow-up.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Hospital Israelista Albert Einstein
RECRUITINGSão Paulo, São Paulo, 05652-900, Brazil