Ultrasound-Guided Lumbar Transforaminal Epidural Injections; A Single Center Fluoroscopic Validation Study
Objective: To investigate the success rate (technical precision) of ultrasound-guided lumbar transforaminal epidural steroid injection, which was validated by conventional fluoroscopic technique.Methods: A total of 20 patients with unilateral single-level lumbar foraminal disc protrusion causing rad...
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2019-07-01
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| Series: | Bulletin of Emergency and Trauma |
| Subjects: | |
| Online Access: | http://beat.sums.ac.ir/article_45369_4bf3a324e76757f3851c75d0cb4a6a2e.pdf |
| _version_ | 1818129716100464640 |
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| author | Masoud Hashemi Payman Dadkhah Mehrdad Taheri Seyed Mohammdareza Haji Seyed Abootorabi Bahram Naderi-nabi |
| author_facet | Masoud Hashemi Payman Dadkhah Mehrdad Taheri Seyed Mohammdareza Haji Seyed Abootorabi Bahram Naderi-nabi |
| author_sort | Masoud Hashemi |
| collection | DOAJ |
| description | Objective: To investigate the success rate (technical precision) of ultrasound-guided lumbar transforaminal epidural steroid injection, which was validated by conventional fluoroscopic technique.Methods: A total of 20 patients with unilateral single-level lumbar foraminal disc protrusion causing radiculopathy were enrolled. Using transforming route, the needle location was determined by an axial (transvers) view of the ultrasound with fluoroscopic confirmation. We determined the needle placement accuracy of ultrasound- guided lumbar transforaminal injections approach. Results: The accuracy of ultrasound-guided interventions was 90% as confirmed by fluoroscopy. There were 2 failed cases at the L4-L5 level in the US-guided. The success rate in L5-S1 level was 100%, in L4-L5 level was 80% and in L3-L4 level was 100%. No complications were noted.Conclusion: Ultrasound-guided lumbar transforaminal epidural injections are accurate and feasible in clinical setting with an accuracy of 90% and no complications. |
| first_indexed | 2024-12-11T07:53:34Z |
| format | Article |
| id | doaj.art-d021bddd7cf14bc080953e15d4ee6edd |
| institution | Directory Open Access Journal |
| issn | 2322-2522 2322-3960 |
| language | English |
| last_indexed | 2024-12-11T07:53:34Z |
| publishDate | 2019-07-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Bulletin of Emergency and Trauma |
| spelling | doaj.art-d021bddd7cf14bc080953e15d4ee6edd2022-12-22T01:15:17ZengShiraz University of Medical SciencesBulletin of Emergency and Trauma2322-25222322-39602019-07-017Issue 325125510.29252/beat-07030745369Ultrasound-Guided Lumbar Transforaminal Epidural Injections; A Single Center Fluoroscopic Validation StudyMasoud HashemiPayman DadkhahMehrdad TaheriSeyed Mohammdareza Haji0Seyed Abootorabi1Bahram Naderi-nabi2Department of Anesthesiology and Pain, Guilan University of Medical Sciences, Rasht, Guilan, IranAnesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Anesthesiology and Pain, Guilan University of Medical Sciences, Rasht, Guilan, IranObjective: To investigate the success rate (technical precision) of ultrasound-guided lumbar transforaminal epidural steroid injection, which was validated by conventional fluoroscopic technique.Methods: A total of 20 patients with unilateral single-level lumbar foraminal disc protrusion causing radiculopathy were enrolled. Using transforming route, the needle location was determined by an axial (transvers) view of the ultrasound with fluoroscopic confirmation. We determined the needle placement accuracy of ultrasound- guided lumbar transforaminal injections approach. Results: The accuracy of ultrasound-guided interventions was 90% as confirmed by fluoroscopy. There were 2 failed cases at the L4-L5 level in the US-guided. The success rate in L5-S1 level was 100%, in L4-L5 level was 80% and in L3-L4 level was 100%. No complications were noted.Conclusion: Ultrasound-guided lumbar transforaminal epidural injections are accurate and feasible in clinical setting with an accuracy of 90% and no complications.http://beat.sums.ac.ir/article_45369_4bf3a324e76757f3851c75d0cb4a6a2e.pdfEpidural injectionFluoroscopyChronic pain managementRadiculopathy |
| spellingShingle | Masoud Hashemi Payman Dadkhah Mehrdad Taheri Seyed Mohammdareza Haji Seyed Abootorabi Bahram Naderi-nabi Ultrasound-Guided Lumbar Transforaminal Epidural Injections; A Single Center Fluoroscopic Validation Study Bulletin of Emergency and Trauma Epidural injection Fluoroscopy Chronic pain management Radiculopathy |
| title | Ultrasound-Guided Lumbar Transforaminal Epidural Injections; A Single Center Fluoroscopic Validation Study |
| title_full | Ultrasound-Guided Lumbar Transforaminal Epidural Injections; A Single Center Fluoroscopic Validation Study |
| title_fullStr | Ultrasound-Guided Lumbar Transforaminal Epidural Injections; A Single Center Fluoroscopic Validation Study |
| title_full_unstemmed | Ultrasound-Guided Lumbar Transforaminal Epidural Injections; A Single Center Fluoroscopic Validation Study |
| title_short | Ultrasound-Guided Lumbar Transforaminal Epidural Injections; A Single Center Fluoroscopic Validation Study |
| title_sort | ultrasound guided lumbar transforaminal epidural injections a single center fluoroscopic validation study |
| topic | Epidural injection Fluoroscopy Chronic pain management Radiculopathy |
| url | http://beat.sums.ac.ir/article_45369_4bf3a324e76757f3851c75d0cb4a6a2e.pdf |
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