Lumbar Retrodiscal Transforaminal Injection
ثبت نشده
چکیده
Objectives: The author demonstrates a variation of the transforaminal injection technique. The radiographic spread of contrast is described using a more oblique and ventral caudad approach in the epidural space “retrodiscal.” It is suggested that the radiographic findings of this technique for discogenic causes of induced radiculitis and/or back pain may yield more precise targeting of putative pathologic sources of radiculopathy and back pain in selected patients.
منابع مشابه
Lumbar retrodiscal versus post-ganglionic transforaminal epidural steroid injection for the treatment of lumbar intervertebral disc herniations.
BACKGROUND Lumbar transforaminal epidural steroid injections (TFESIs) are procedures often utilized in the treatment of radicular pain. TFESIs with a preganglionic approach have been reported to be more effective than TFESIs performed using a classic approach. However, it is unknown whether TFESIs using a retrodiscal approach are as effective as other approaches. OBJECTIVE To investigate the ...
متن کاملContrast Spreading Patterns in Retrodiscal Transforaminal Epidural Steroid Injection
OBJECTIVE To observe the contrast spreading patterns in the retrodiscal (RD) approach for transforaminal epidural steroid injections and their effect on pain reduction. METHOD Patients with L5 radiculopathy who were scheduled to receive lumbar TF-EPB were consecutively included. We randomly divided them into the L4-5 RD and L5-S1 RD groups and administered 1 cc of contrast dye into epidural s...
متن کاملRetrodiscal Approach of Lumbar Epidural Block
OBJECTIVE To compare the technical strengths and weaknesses between retrodiscal (RD) and conventional subpedicular (SP) approaches of transforaminal epidural block (TF-EPB). METHOD Sixty-one patients with L5 radiculopathy who planned to undergo TF-EPB were consecutively enrolled as study subjects. Subjects were randomly assigned to one of two groups. For the RD approach, the positioning of th...
متن کاملA practical laboratory study simulating the percutaneous lumbar transforaminal epidural injection: training model in fresh cadaveric sheep spine.
AIM Laboratory training models are essential for developing and refining treatment skills before the clinical application of surgical and invasive procedures. A simple simulation model is needed for young trainees to learn how to handle instruments, and to perform safe lumbar transforaminal epidural injections. Our aim is to present a model of a fresh cadaveric sheep lumbar spine that simulates...
متن کاملThe effectiveness of lumbar transforaminal injection of steroids: a comprehensive review with systematic analysis of the published data.
OBJECTIVE To determine the effectiveness of lumbar transforaminal injection of steroids in the treatment of radicular pain. DESIGN Comprehensive review of the literature with systematic analysis of all published data. INTERVENTIONS Four reviewers independently assessed 39 publications on the effectiveness of lumbar transforaminal injection of steroids. Each reviewer determined if a publicat...
متن کامل