The Incidence of the Intravascular Injection During S1 Transforaminal Epidural Steroid Injection in Two Approaches: Anteroposterior Versus Oblique
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Lumbosacral Radicular Pain
- Sponsor
- Yonsei University
- Enrollment
- 201
- Locations
- 1
- Primary Endpoint
- the incidence of intravascular injection
- Status
- Completed
- Last Updated
- 11 years ago
Overview
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
the incidence of intravascular injection
Time Frame: 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