{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T10:21:20Z","timestamp":1777371680024,"version":"3.51.4"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rofo"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Auswertung der bildgebend gesteuerten Schmerztherapien im Bereich der Wirbels\u00e4ule anhand der erfassten Daten aus dem DeGIR-QS-Register f\u00fcr das Jahr 2021 zur Analyse der radiologischen Versorgungssituation in Deutschland.<\/jats:p>\n                  <jats:p>Insgesamt wurden 28915 Interventionen der im DeGIR-Register dokumentierten klinischen und prozeduralen Daten zu schmerztherapeutischen Eingriffen f\u00fcr das Jahr 2021 nach Selektion der Therapien im Bereich der Wirbels\u00e4ule nach Art, Lokalisation und Methodik der angewandten Therapien sowie aufgetretenen Komplikationen analysiert.<\/jats:p>\n                  <jats:p>In die Auswertung flossen 27139 als schmerztherapeutische Infiltrationen im Bereich der gesamten Wirbels\u00e4ule codierte Eingriffe ein. Das Durchschnittsalter war 62 Jahre. Wiederholungseingriffe wurden in 4923 F\u00e4llen (29,1%) durchgef\u00fchrt. 95,6% der F\u00e4lle wurden CT-gesteuert durchgef\u00fchrt. In 15623 (57,6%) der Eingriffe erfolgte zur Dokumentation eine lokale Kontrastmittelapplikation. 7848 (28,9%) der Eingriffe wurden im Bereich von Gelenkstrukturen durchgef\u00fchrt, 19291 (71,1%) an Spinalnerven (transforaminal oder translamin\u00e4r); hierbei erfolgte die gro\u00dfe Mehrzahl der Eingriffe mit 22184 (81,7%) im lumbalen und sakralen Abschnitt der Wirbels\u00e4ule.<\/jats:p>\n                  <jats:p>Komplikationen wurden bei 53 F\u00e4llen (0,2%) genannt, die \u00fcberwiegende Mehrzahl hiervon waren leichtgradige Komplikationen der Kategorien A oder B (49 F\u00e4lle), in einem Fall wurde ein Tod berichtet (0,004%). Neuro-zerebrale Komplikationen wurden nicht dokumentiert.<\/jats:p>\n                  <jats:p>Die Auswertung der Registerdaten zeigt ein typisches Verteilungsmuster der radiologisch interventionellen Schmerztherapien an der Wirbels\u00e4ule im Hinblick auf epidemiologische Daten, Lokalisation und Art der Therapien. Diese werden in der gro\u00dfen Mehrzahl sehr komplikationsarm unter CT-Steuerung vorgenommen. Ein Ziel zuk\u00fcnftiger Erhebungen sollte auch exaktere Angaben zur Anamnese, Indikation, Durchf\u00fchrung und insbesondere der klinischen Erfolgsqualit\u00e4t beinhalten.<\/jats:p>\n                  <jats:p>Radiologisch interventionelle Schmerztherapien an der Wirbels\u00e4ule werden in Deutschland sicher und in der \u00fcberwiegenden Anzahl der F\u00e4lle unter bildgebender Steuerung im CT durchgef\u00fchrt.<\/jats:p>","DOI":"10.1055\/a-2657-9236","type":"journal-article","created":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T22:52:03Z","timestamp":1754088723000},"page":"644-650","source":"Crossref","is-referenced-by-count":1,"title":["Radiologische Schmerztherapien an der Wirbels\u00e4ule \u2013 Retrospektive Auswertung der DeGIR-Registerdaten 2021"],"prefix":"10.1055","volume":"198","author":[{"given":"Robert","family":"Fessl","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Neuroradiology, University Hospital Augsburg, Augsburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank K","family":"Wacker","sequence":"additional","affiliation":[{"name":"Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Wilhelm","sequence":"additional","affiliation":[{"name":"Department of Radiology, Johanniter-Krankenhaus Bonn, Bonn, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Nadjiri","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, Technical University of Munich, Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ansgar","family":"Berlis","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Neuroradiology, University Hospital Augsburg, Augsburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,8,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"223","DOI":"10.3238\/arztebl.2016.0223","article-title":"Akuter lumbaler R\u00fcckenschmerz, Diagnostik, Differenzialdiagnostik und Therapie","volume":"113","author":"HR Casser","year":"2016","journal-title":"Dtsch \u00c4rztebl"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"2","DOI":"10.25646\/7855","article-title":"Pr\u00e4valenz von R\u00fccken- und Nackenschmerzen in Deutschland. 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