Abstract
Selective transforaminal periradicular infiltration with local corticosteroids and
anesthetics has been performed for preoperative evaluation of lumbosacral pain and
for patients with sciatia. From July 2001 to November 2003, 143 patients with unilateral
sciatica were treated with computed tomography (CT)-guided transforaminal periradicular
infiltration. Needle puncture was possible without difficulty in all patients. Of
all 143 infiltrations, 140 were followed up with the recovery of leg and back pain
and improvement of the straight leg-raising test (SLRT). Minor complications were
seen, but major complications and mortality did not occur in our series. In summary,
CT guidance allows safe and precise needle positioning, and it can readily demonstrate
the spread of the medications in the exact periradicular space.
Keywords
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References
- Efficacy of epidural steroid injections for low-back pain and sciatica: a systematic review of randomized clinical trials.Pain. 1995; 63: 279-288
- Contemporary concepts in spine care: epidural steroid injections.Spine. 1995; 20: 1842-1846
- Periradicular infiltration for sciatica: a randomized controlled trial.Spine. 2001; 26: 1059-1067
- Local corticosteroid application blocks transmission in normal nociceptive C-fibers.Acta Anesthesiol Scand. 1990; 34: 335-338
- Nonoperative treatment of herniated lumbar intervertebral disc with radiculopathy: an outcome study.Spine. 1989; 14: 431-437
- Image-guided spine intervention. Saunders, Philadelphia2003
- Fluoroscopic transforaminal lumbar epidural steroids: an outcome study.Arch Phys Med Rehabil. 1998; 79: 1362-1366
- CT-guided pain treatment.Schwizerische Medizinische Wochenschrift. 1996; 126: 1270-1273
- New methods of treatment of spinal column diseases using interventional radiological techniques.in: Seibel RMM Grönemeyer DHW Interventional computed tomography. 1st ed. Blackwell, Boston1990: 100-115
- Periradicular therapy in lumbar radicular syndrome: methodology and results.Acta Neurochir (Wien). 1997; 139: 719-724
- Spinal imaging and intervention.Phys Med Rehabil Clin North Am. 1998; 9: 343-380
- Outpatient lumbar epidural corticosteroid injection in the management of sciatica.Fr J Rheumatol. 1988; 27: 295-299
Article info
Publication history
Published online: December 06, 2004
Accepted:
July 26,
2004
Received:
July 20,
2004
Identification
Copyright
© 2005 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
