The Incidence of the Intravascular Injection During S1 Transforaminal Epidural Steroid Injection in Two Approaches: Anteroposterior Versus Oblique
- Conditions
- Lumbosacral Radicular Pain
- Interventions
- Procedure: oblique approach groupProcedure: anteroposterior approach group
- Registration Number
- NCT01926470
- Lead Sponsor
- Yonsei University
- Brief Summary
Lumbosacral transforaminal epidural steroid injection (TFESI) is helpful for the treatment of lumbosacral radicular pain, but in case of intravascular injection, infrequently serious complication can be developed. Against this backdrop, if there is any difference of frequency of intravascular injection incidence during S1 TFESI between method in anteroposterior view and method in oblique view using Scotty dog, the result can be crucial factor in selecting the approach. In addition, appropriate volume of injection will be checked in each approach.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 201
- Adult patients (20-80 years of age) who were scheduled to receive S1 transforaminal epidural steroid injection for lumbosacral radicular pain at our pain management clinic
- pregnancy
- coagulopathy
- systemic infection
- any active infection at the injection site
- history of allergy to contrast media, local anesthetics, corticosteroid
- patients unable to communicate or patients with cognitive dysfunction
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description oblique approach group oblique approach group oblique approach group anteroposterior approach group anteroposterior approach group anteroposterior approach group
- Primary Outcome Measures
Name Time Method the incidence of intravascular injection 5 seconds after injection of contrast media via block needle. the incidence of intravascular injection in the anteroposterior approach group and the oblique approach group
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine
🇰🇷Seoul, Korea, Republic of