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The Incidence of the Intravascular Injection During S1 Transforaminal Epidural Steroid Injection in Two Approaches: Anteroposterior Versus Oblique

Not Applicable
Completed
Conditions
Lumbosacral Radicular Pain
Interventions
Procedure: oblique approach group
Procedure: 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
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
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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
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
oblique approach groupoblique approach groupoblique approach group
anteroposterior approach groupanteroposterior approach groupanteroposterior approach group
Primary Outcome Measures
NameTimeMethod
the incidence of intravascular injection5 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
NameTimeMethod

Trial Locations

Locations (1)

Department of Anesthesiology and Pain Medicine, Anesthesia and Pain Research Institute, Yonsei University College of Medicine

🇰🇷

Seoul, Korea, Republic of

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