908 RETROSPECTIVE ANALYSIS OF THE RESULTS OF EPIDURAL STEROID INJECTIONS (ESIS) AT OUR DEPARTMENT

2009 ◽  
Vol 13 (S1) ◽  
Author(s):  
R. Hrib ◽  
M. Hakl ◽  
P. Evcik
Keyword(s):  
Retrospective Analysis ◽  
Steroid Injections ◽  
Epidural Steroid Injections ◽  
Epidural Steroid

A Retrospective Analysis of the Efficacy of Epidural Steroid Injections

1988 ◽  
Vol &NA; (228) ◽  
pp. 270???272 ◽  
Author(s):  
CHARLES D. ROSEN ◽  
NEIL KAHANOVITZ ◽  
RALPH BERNSTEIN ◽  
KATHY VIOLA
Keyword(s):  
Retrospective Analysis ◽  
Steroid Injections ◽  
Epidural Steroid Injections ◽  
Epidural Steroid

A Retrospective Analysis of Vertebral Body Fractures Following Epidural Steroid Injections

2013 ◽  
Vol 95 (11) ◽  
pp. 961-964 ◽  
Author(s):  
Shlomo Mandel ◽  
Jennifer Schilling ◽  
Edward Peterson ◽  
D. Sudhaker Rao ◽  
William Sanders
Keyword(s):  
Retrospective Analysis ◽  
Vertebral Body ◽  
Steroid Injections ◽  
Epidural Steroid Injections ◽  
Vertebral Body Fractures ◽  
Epidural Steroid

Interpreting Reviews and Guidelines: The Case of Lumbar Epidural Steroid Injections

PM&R ◽  
2009 ◽  
Vol 1 (6) ◽  
pp. 576-579 ◽  
Author(s):  
Venu Akuthota ◽  
Charles Argoff ◽  
William C. Watters
Keyword(s):  
Steroid Injections ◽  
Epidural Steroid Injections ◽  
Epidural Steroid

Transforaminal Lumbar and Thoracic Interventions and Ischemic Spinal Cord Injury

2016 ◽  
Author(s):  
Scott E. Glaser ◽  
Rinoo Shah
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Spinal Cord Infarction ◽  
Supporting Evidence ◽  
Steroid Injections ◽  
Epidural Steroid Injections ◽  
Root Cause ◽  
Cord Injury ◽  
Epidural Steroid ◽  
Ischemic Spinal Cord Injury

Transforaminal epidural steroid injections have been shown to be associated with catastrophic neurologic complications secondary to spinal cord infarction. The reflexive, ad hoc response of practitioners to these injuries has been to recommend risk minimization strategies to prevent embolism of the injected particulate steroids and to use nonparticulate steroids. This focus on distal embolism as the sole or primary cause of catastrophic outcomes lacks conclusive supporting evidence and does not suffice to protect the patient from paraplegia as it fails to address the root cause of the complications. A root cause analysis of the procedure provides evidence that the injection technique itself—the “safe triangle”—creates a risk of arterial damage and sequelae leading to ischemia of the spinal cord. The evidence is strong that the only way to mitigate or eliminate the risk of paraplegia is to use a different technique to perform transforaminal injections: the Kambin triangle approach. This change in technique is the only definitive solution that addresses the root cause of these catastrophic sequelae associated with transforaminal epidural steroid injections. Key Words: Artery of Adamkiewicz, ischemic spinal cord injury, Kambin triangle, safe triangle, transforaminal epidural injection

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