Inadvertent Intradiscal Contrast Flow During Lumbar Transforaminal Epidural Steroid Injections: A Case Series Examining the Prevalence of Intradiscal Injection as well as Potential Associated Factors and Adverse Events

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Analysis of Inadvertent Intradiscal Injections during Lumbar Transforaminal Epidural Injection

BACKGROUND Recently, there have been several case reports and retrospective studies about the incidence of intradiscal (ID) injection during transforaminal epidural steroid injection (TFESI). Inadvertent ID injection is not a rare complication, and it carries the risk of developing diskitis, although there has been no report of diskitis after TFESI. We prospectively evaluated the incidence of i...

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BACKGROUND Lumbosacral transforaminal epidural steroid injections (LS-TFESIs) are an accepted procedure used in the comprehensive, conservative care for lumbar disc pathology and/or spinal stenosis induced low back pain with a radicular component. Historically, the terminology used to describe the transforaminal technique of instilling medications into the epidural space and/or exiting structur...

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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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The obligatory use of fluoroscopy for placement of epidural steroids is controversial. Proponents of the use of fluoroscopy cite studies that report up to 35% rates of inaccurate placement of epidural needles without the aid of fluoroscopic imaging. This case study presents a situation in which a loss-of-resistance technique resulted in an inadvertent discogram.

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ژورنال

عنوان ژورنال: Pain Medicine

سال: 2010

ISSN: 1526-2375,1526-4637

DOI: 10.1111/j.1526-4637.2010.00943.x