Alternative Approach for Lumbar Transforaminal Epidural Steroid Injections

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Alternative approach for lumbar transforaminal epidural steroid injections.

The traditional superoanterior approach for transforaminal epidural steroid injection (TFESI) carries a risk of complication by obstructing arterial flow to the anterior portion of the spinal cord by puncturing the spinal radicular artery that passes through the superoanterior foraminal zone or "safe triangle" zone, which does not describe vascular safety, but rather describes neural safety. Co...

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Transforaminal lumbar epidural steroid injections.

Low back pain is an important medical, social, and economic problem involving approximately 15% to 39% of the population. Of the numerous therapeutic interventions available for treatment of chronic low back pain, including surgery, epidural administration of corticosteroids is one such intervention commonly used. Several approaches available to access the lumbar epidural space are the caudal, ...

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Cervical transforaminal epidural steroid injections

(TFESIs) play an important role in the conservative treatment of the symptoms of neck pain with a radicular component secondary to cervical herniated intervertebral disc (HIVD) or spinal stenosis (1-3). Although some investigators have reported no serious complications resulting from the use of cervical TFESIs, recent reports emphasize the risks of this procedure, including a high incidence of ...

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Systematic review of therapeutic lumbar transforaminal epidural steroid injections.

BACKGROUND Epidural injection of corticosteroids is one of the most commonly used interventions in managing chronic spinal pain. The transforaminal route to the lumbar epidural space for steroid injection has gained rapid and widespread acceptance for the treatment of lumbar and leg pain. However, there are few well-designed randomized, controlled studies to determine the effectiveness of epidu...

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ژورنال

عنوان ژورنال: July 2011

سال: 2011

ISSN: 2150-1149,1533-3159

DOI: 10.36076/ppj.2011/14/331