Original article| Volume 29, ISSUE 3, P211-214, May 2005

Download started.


Transforaminal periradicular infiltration guided by CT for unilateral sciatica—an outcome study

Published:December 06, 2004DOI:


      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.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Koes BW
        • Scholten RJ
        • Mens JM
        • Bouter LM
        Efficacy of epidural steroid injections for low-back pain and sciatica: a systematic review of randomized clinical trials.
        Pain. 1995; 63: 279-288
        • Weinstein SM
        • Herring SA
        • Derby R
        Contemporary concepts in spine care: epidural steroid injections.
        Spine. 1995; 20: 1842-1846
        • Karppinen J
        • Malmivaaira A
        • Kurunlahti M
        • Kyllonen E
        • Pienimaki T
        • Nieminen P
        • Ohinmaa A
        • Tervonen O
        • Vanharanta H
        Periradicular infiltration for sciatica: a randomized controlled trial.
        Spine. 2001; 26: 1059-1067
        • Johansson A
        • Hao J
        • Sjolund B
        Local corticosteroid application blocks transmission in normal nociceptive C-fibers.
        Acta Anesthesiol Scand. 1990; 34: 335-338
        • Saal JA
        • Saal JS
        Nonoperative treatment of herniated lumbar intervertebral disc with radiculopathy: an outcome study.
        Spine. 1989; 14: 431-437
        • Fenton DS
        • Czervionke LF
        Image-guided spine intervention. Saunders, Philadelphia2003
        • Lutz GE
        • Vad VB
        • Wisneski RJ
        Fluoroscopic transforaminal lumbar epidural steroids: an outcome study.
        Arch Phys Med Rehabil. 1998; 79: 1362-1366
        • Proske M
        • Steinbrich W
        CT-guided pain treatment.
        Schwizerische Medizinische Wochenschrift. 1996; 126: 1270-1273
        • Seibel RMM
        • Grönemeyer DHW
        • Grumme TH
        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
        • Ltze M
        • Stendel R
        • Vesper J
        • Brock M
        Periradicular therapy in lumbar radicular syndrome: methodology and results.
        Acta Neurochir (Wien). 1997; 139: 719-724
        • Mink JH
        • Deutsch AL
        • Goldstein TB
        Spinal imaging and intervention.
        Phys Med Rehabil Clin North Am. 1998; 9: 343-380
        • Ridley MG
        • Kingsley GH
        • Gibson T
        • Grahame R
        Outpatient lumbar epidural corticosteroid injection in the management of sciatica.
        Fr J Rheumatol. 1988; 27: 295-299