keyword
https://read.qxmd.com/read/38440806/transforaminal-epidural-steroid-injection-for-radiculopathy-and-the-evolution-to-surgical-treatment-a-pragmatic-prospective-observational-multicenter-study
#1
JOURNAL ARTICLE
Vincent Raymaekers, Gert Roosen, Eric Put, Steven Vanvolsem, Salah-Eddine Achahbar, Sacha Meeuws, Maarten Wissels, Sven Bamps, Dirk De Ridder, Tomas Menovsky, Mark Plazier
Aim: The aim of this study is to analyze the real-world outcomes of transforaminal epidural steroid injections (TFESIs) in all patients with radiculopathy and their long-term outcomes. Methods: Patients with radiculopathy and failure of conservative treatment were included in a prospective, multicenter, observational cohort study. Results: In total, 117 patients were treated with one or two TFESIs. The mean duration of follow-up was 116 (±14) weeks. In total 19,6% (95% CI: 12.9-28.0%) patients were treated with surgery after insufficient symptom improvement...
March 5, 2024: Pain Management
https://read.qxmd.com/read/38433432/lumbar-transforaminal-injection-of-steroids-versus-platelet-rich-plasma-for-prolapse-lumbar-intervertebral-disc-with-radiculopathy-a-randomized-double-blind-controlled-pilot-study
#2
JOURNAL ARTICLE
Anuj Gupta, Harvinder Singh Chhabra, Vishwajeet Singh, Daram Nagarjuna
STUDY DESIGN: Double-blind randomized controlled pilot study. PURPOSE: The purpose of this study was to compare outcomes of steroids with autologous platelet-rich plasma (PRP) administered by lumbar transforaminal injection (LTI) in patients with lumbar radiculopathy. OVERVIEW OF LITERATURE: Degenerative disc disease of the lumbar spine is one of the most common conditions managed by spine surgeons in routine practice. Once conservative management fails, LTI is diagnostic and often therapeutic...
February 2024: Asian Spine Journal
https://read.qxmd.com/read/38430994/evaluation-of-fluoroscopically-guided-transforaminal-selective-nerve-root-sleeve-injections-for-lumbar-spinal-stenosis-with-radiculopathy-utilizing-patient-reported-outcome-measurement-information-system-as-an-outcome-measure
#3
JOURNAL ARTICLE
Andrew R Stephens, Ramz El Hassasn, Rajeev K Patel
OBJECTIVE: To evaluate the therapeutic effect of transforaminal selective nerve root sleeve injections (TFSNRIs) in a specific subset of patients with clinical symptoms and presentation consistent with spinal stenosis DESIGN: Retrospective review SETTING: tertiary academic spine center. PARTICIPANTS: A total of 176 patients with radicular leg pain with or without low back pain as well as ≥3 clinical features of spinal stenosis and corroborative radiographic features of spinal stenosis on lumbar spine magnetic resonance imaging without confounding spinal pathology...
February 29, 2024: Archives of Physical Medicine and Rehabilitation
https://read.qxmd.com/read/38385705/transforaminal-contrast-injection-before-computed-tomography-guided-lateral-endoscopic-lumbar-diskectomy-improves-visualization-of-exiting-nerve-root
#4
JOURNAL ARTICLE
Adam Leibold, Guilherme Porto, Nikolaos Mouchtouris, Kevin Hines, Dajie Wang, Ahilan Sivaganesan, Jack Jallo
BACKGROUND AND OBJECTIVES: Percutaneous endoscopic lumbar diskectomy (PELD) is an effective, minimally invasive method for removal of lateral lumbar disk herniations. This minimally invasive technique can be applied with high success and lead to faster recovery than traditional methods. Unfortunately, adoption of these techniques in the United States has been slow. A significant barrier to using this technique is often an inability to completely visualize relevant anatomy and increased operative times...
February 22, 2024: Operative Neurosurgery (Hagerstown, Md.)
https://read.qxmd.com/read/38385170/techniques-in-medicine-ipsilateral-transforaminal-epidural-steroid-injection-in-bertolotti-s-syndrome
#5
JOURNAL ARTICLE
Peter D Vu, Christopher L Robinson, Omar Viswanath, Ivan Urits, Jamal Hasoon
Bertolotti's syndrome, also known as lumbosacral transitional vertebrae, is a relatively rare spinal condition characterized by an anatomical variation in the lower spine. Conservative approaches such as physical therapy, anti-inflammatory medications and lifestyle modifications may be recommended for mild cases. In more severe cases or when conservative measures fail to provide relief, injections such as may be considered to alleviate pain. This case is unique in that we document a challenging technique of ipsilateral transforaminal epidural steroid injection in a patient with Bertolotti's syndrome...
February 22, 2024: Pain Management
https://read.qxmd.com/read/38371082/transforaminal-epidural-injection-for-far-lateral-lumbar-disc-herniations-an-alternative-to-surgery-or-just-a-delay
#6
JOURNAL ARTICLE
Luay Serifoglu, Mustafa U Etli
OBJECTIVE:  Far lateral lumbar disc herniations (FLLDH) are known for causing severe and persistent radicular pain due to direct nerve root and dorsal root ganglion compression. This study evaluates the effectiveness of transforaminal epidural steroid injection (TFSI) in patients with FLLDH, assessing its role as a potential alternative to surgery. METHODS:  The study retrospectively analyzed 42 patients with radicular pain caused by FLDH, confirmed via lumbar magnetic resonance imaging, who had not benefited from conservative treatment...
January 2024: Curēus
https://read.qxmd.com/read/38369438/long-term-effectiveness-of-transforaminal-anterolateral-approach-ct-guided-cervical-epidural-steroid-injections-for-cervical-radiculopathy-treatment
#7
JOURNAL ARTICLE
Z Aldin, J K Diss, H Mahmood, T Sadik, H Basra, M Ahmed, Z Danawi, A Gul, A S Sayed-Noor
AIM: To evaluate the long-term clinical effectiveness of computed tomography (CT)-guided transforaminal cervical epidural steroid injection using an anterolateral approach for the treatment of cervical radiculopathy (CR) using well-established robust clinical scoring systems for neck pain and neck disability. Despite its widespread use, evidence to support the long-term benefit of routine cervical epidural steroid injection is currently very limited. MATERIALS AND METHODS: This study included 113 patients with magnetic resonance imaging (MRI)-confirmed CR who underwent a steroid injection at a single cervical level via a unilateral transforaminal anterolateral approach...
February 3, 2024: Clinical Radiology
https://read.qxmd.com/read/38328020/the-short-term-outcome-of-transforaminal-epidural-steroid-injection-in-patients-with-radicular-pain-due-to-foraminal-stenosis-from-lumbar-isthmic-spondylolisthesis
#8
JOURNAL ARTICLE
Gyu-Sik Choi, Mathieu Boudier-Revéret, Min Cheol Chang
PURPOSE: In this study, we evaluated the therapeutic outcomes of transforaminal epidural steroid injection (TFESI) in managing chronic radicular pain due to foraminal stenosis. Furthermore, we evaluated its effectiveness according to isthmic spondylolisthesis (IS) severity. PATIENTS AND METHODS: We included 40 patients with radicular pain due to IS-derived foraminal stenosis in our study and treated them with TFESI. Two patients were lost during follow-up. Based on the lateral lumbar radiograph findings, we allocated the recruited patients with < 25% slippage by IS to Group 1 (n = 23) and those having 25-50% slippage to Group 2 (n = 15)...
2024: Journal of Pain Research
https://read.qxmd.com/read/38317671/outcomes-of-transforaminal-epidural-injection-of-amniotic-membrane-umbilical-cord-particulate-for-lumbar-radiculopathy-a-case-series
#9
JOURNAL ARTICLE
Mark Miedema, Angela Anderson
BACKGROUND: Radiculopathy can be a debilitating condition. Amniotic membrane/umbilical cord (AM/UC) particulate is a relatively new injectable treatment modality. Herein we report the outcomes of epidural injection of AM/UC particulate in managing lumbar radiculopathy. METHODS: Consecutive patients with lumbar radiculopathy who received epidural injection of AM/UC particulate for lumbar radiculopathy were included. Primary outcome was change in pain as measured by the 11-point numerical rating scale...
2024: Front Pain Res (Lausanne)
https://read.qxmd.com/read/38276054/effectiveness-of-acupotomy-combined-with-epidural-steroid-injection-for-lumbosacral-radiculopathy-a-randomized-controlled-pragmatic-pilot-study
#10
JOURNAL ARTICLE
Jin-Hyun Lee, Sang-Hyun Lee, Hae Sun Suh, Man-Suk Hwang, Semin Jang, Sooil Choi, Young-Soo Lim, Sang Hyun Byun, Sang-Hoon Yoon, Sukhee Park, Tae-Yong Park
Background and Objectives : This pilot study aimed to evaluate the clinical effectiveness, cost-effectiveness, and safety of acupotomy combined with epidural steroid injection (ESI) in lumbosacral radiculopathy and examine its feasibility for the main study. Materials and Methods : This randomized, controlled, two-arm, parallel, assessor-blinded, pragmatic study included 50 patients with severe lumbosacral radiculopathy who had insufficient improvement after an ESI. Patients were randomized (1:1 ratio) into a combined treatment (acupotomy + ESI, experimental) and an ESI single treatment (control) group...
January 19, 2024: Medicina
https://read.qxmd.com/read/38272615/the-anatomy-technique-safety-and-efficacy-of-image-guided-epidural-access
#11
REVIEW
Timothy Maus
Epidural steroid injections have demonstrable efficacy and safety in treatment of radicular pain syndromes; transforaminal access has greater evidence of efficacy than interlaminar approaches. The interventionalist must understand epidural and foraminal anatomy and imaging to insure delivery of medication to the target, the ventral epidural space at the site of neural compression. This obligates pre-procedural planning. When performed with appropriate risk mitigation strategies, epidural injections by either access are safe...
March 2024: Radiologic Clinics of North America
https://read.qxmd.com/read/38213681/real-time-ultrasound-guided-transforaminal-approach-for-successful-intrathecal-injection-in-patients-with-severe-scoliosis-and-spinal-muscular-atrophy-case-studies
#12
JOURNAL ARTICLE
Xijian Ke, Rui Yang, Min Zhang, Yinzhu Wu
No abstract text is available yet for this article.
November 2023: Indian Journal of Anaesthesia
https://read.qxmd.com/read/38196434/functional-outcomes-and-successful-predictors-of-lumbar-transforaminal-epidural-steroid-injections-ltfesis-for-lumbar-radiculopathy-under-fluoroscopic-guidance-a-prospective-study
#13
JOURNAL ARTICLE
Karthikeyan Dhandapani, Debabrata Som, Prabhu Muthiahpandian, Andrew Miller, Aakaash Venkatesan, Mahak Baid, Naga Kishore Ausala, Raja Bhowmik, Mohammed Shabaz Faheem, Aditya Mani Subramani
BACKGROUND: Lumbar radiculopathy, a common and debilitating condition, often necessitates a multimodal approach for effective management. Lumbar transforaminal epidural steroid injection (LTFESI) has emerged as a valuable therapeutic option when conservative measures fall short. Recent interest in long-acting and non-particulate steroids prompts a critical examination of their impact on LTFESI outcomes. This prospective study aims to evaluate the efficacy of LTFESI in improving pain and functional outcomes in patients with lumbar radiculopathy, focusing on long-acting and non-particulate steroids, and analyse the associated economic burden...
December 2023: Curēus
https://read.qxmd.com/read/38190074/deep-learning-algorithm-trained-on-oblique-cervical-radiographs-to-predict-outcomes-of-transforaminal-epidural-steroid-injection-for-pain-from-cervical-foraminal-stenosis
#14
JOURNAL ARTICLE
Ming Xing Wang, Jeoung Kun Kim, Chung Reen Kim, Min Cheol Chang
INTRODUCTION: We developed a convolutional neural network (CNN) model to predict treatment outcomes of transforaminal epidural steroid injection (TFESI) for controlling cervical radicular pain due to cervical foraminal stenosis. METHODS: We retrospectively recruited 293 patients with cervical TFESI due to cervical radicular pain caused by cervical foraminal stenosis. We obtained a single oblique cervical radiograph from each patient. We cut each oblique cervical radiograph image into a square shape, including the foramen that was targeted for TFESI, the intervertebral disc, the facet joint of the corresponding level with the targeted foramen, and the pedicles of the vertebral bodies just above and below the targeted foramen...
February 2024: Pain and Therapy
https://read.qxmd.com/read/38149369/parasagittal-interlaminar-and-transforaminal-epidural-steroid-injections-for-radicular-low-back-pain-which-is-more-comfortable
#15
JOURNAL ARTICLE
Gevher Rabia Genç Perdecioğlu, Gökhan Yıldız, Ömer Taylan Akkaya, Ezgi Can, Damla Yürük
OBJECTIVE: This study aimed to compare parasagittal interlaminar (PS) and transforaminal (TF) epidural steroid injections for unilateral L5 and S1 radicular lower back pain in terms of patient comfort, efficacy, safety, contrast enhancement, and radiation exposure. METHODS: This was a prospective randomized single-blind study. A total of 59 participants were included in this study. The visual analog scale (VAS) and Oswestry Disability Index (ODI) were obtained. A comfort questionnaire was administered to all participants...
December 27, 2023: Turkish Journal of Anaesthesiology and Reanimation
https://read.qxmd.com/read/38126421/author-s-reply-to-the-letter-of-van-boxem-van-gaag-van-zundert-and-kallewaard-entitled-response-to-ter-meulen-et-al-effect-of-transforaminal-epidural-corticosteroid-injections-in-acute-sciatica
#16
JOURNAL ARTICLE
Bastiaan C Ter Meulen, Johanna M van Dongen, Esther Maas, Marinus H van de Vegt, Johan Haumann, Henry C Weinstein, Raymond Ostelo
No abstract text is available yet for this article.
December 21, 2023: Clinical Journal of Pain
https://read.qxmd.com/read/38108165/a-comparison-between-transforaminal-lumbar-epidural-injection-performed-under-picture-archiving-and-communication-systems-based-magnetic-resonance-imaging-planning-and-injection-under-immediate-x-ray-guidance
#17
JOURNAL ARTICLE
Zhaokui Yan, Guy Romeo Kenmegne, Lixue Wu, Xiaobing Pu, Changchao Dong, Gang Tan, Hongyun Wo, Chengwei Kang
OBJECTIVES: The study aimed to compare the treatment cost, operation time, clinical effect, and complications between punctures done under magnetic resonance imaging (MRI) planning based on picture archiving and communication systems (PACS) and punctures done under immediate X-ray fluoroscopy guidance in the treatment of lumbar disc herniation by transforaminal lumbar epidural injection. PATIENTS AND METHODS: In this prospective study conducted between October 2016 and June 2021, 128 patients were randomly divided into Groups A and B by the random number table method...
January 1, 2024: Joint diseases and related surgery
https://read.qxmd.com/read/38097764/ct-guided-lumbar-facet-cyst-rupture-and-corticosteroid-injection-technique-approach-and-procedural-and-clinical-success-rates
#18
JOURNAL ARTICLE
Ronald W Mercer, Joao R T Vicentini, Steven J Staffa, Ukasha Habib, Rosa Cho, Connie Y Chang
PURPOSE: To evaluate success rates of computed tomography (CT)-guided lumbar facet synovial cyst (LFC) rupture. MATERIALS AND METHODS: We retrospectively reviewed all LFC ruptures performed by a single musculoskeletal radiologist with > 10 years of experience, using posterior facet approach and/or direct puncture by ipsilateral/contralateral interlaminar, or transforaminal approach. All patients also received a corticosteroid injection. Rupture rates were calculated, and clinical success rate was determined through medical record review...
December 14, 2023: Skeletal Radiology
https://read.qxmd.com/read/38094530/traditional-safe-triangle-approach-versus-kambin-s-triangle-approach-does-approach-really-matter-in-transforaminal-epidural-steroid-injection-tfesi-for-lumbar-disc-herniation
#19
JOURNAL ARTICLE
Sandesh Agarawal, Manoj K Ramachandraiah
BACKGROUND: Lumbar disc herniation (LDH) is one of the primary causes of back and leg pain affecting today's working population and is a major contributor to sickness absenteeism, creating a substantial socio-economic burden. Low back pain is one of the leading causes of physical disability in both old and younger age groups. Low back pain has a point prevalence of 12%, a year-on-year prevalence of 38%, and a lifetime prevalence of 40%. The aging population leads to a rising number of individuals affected by lower back pain...
November 2023: Curēus
https://read.qxmd.com/read/38074001/epidural-catheters-for-cervical-epidural-steroid-injections-to-target-higher-cervical-pathology-clinical-images-in-practice
#20
Peter D Vu, Christopher L Robinson, Grant H Chen, Jamal J Hasoon
Cervical radicular pain is commonly treated with cervical epidural steroid injections. The transforaminal approach allows for direct treatment of the steroid at a particular nerve root or level. Still, it carries a significant risk of morbidity and mortality with thromboembolism or injury to cervical vasculature. The interlaminar approach is commonly utilized as it avoids vascular structures. However, the epidural space becomes narrower at higher levels, limiting the ability to perform this approach at higher cervical levels...
November 2023: Curēus
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