Cervical transforaminal injection: Review of the literature complications, and a suggested technique

Pain Physician

Volumn 6, Issue 4, 2003, Pages 457-465

  Windsor, Robert E ^a   Storm, Seneca ^a   Sugar, Ross ^a   Nagula, Diwakar ^a  

^a EMORY UNIVERSITY   (United States)

Author keywords

Complications; Epidural; Epidural steroids; Neck pain; Transforaminal epidural

Indexed keywords

ADULT; AGED; ANESTHESIA COMPLICATION; ANESTHESIOLOGICAL TECHNIQUES; BIBLIOGRAPHIC DATABASE; CASE REPORT; CERVICAL SPINE; CONTROLLED STUDY; EMBASE; EPIDURAL ANESTHESIA; FEMALE; HUMAN; MALE; MEDICAL LITERATURE; MEDICAL RESEARCH; MEDLINE; REVIEW; RISK BENEFIT ANALYSIS; SAFETY; SPINAL ANESTHESIA; STANDARD; TREATMENT OUTCOME;

EID: 0344796388     PISSN: 15333159     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (97)

1. Dogliotti A. Segmental peridural anesthesia. Am J Surg 1933; 20:107.
2. Cathelin F. Mode d'action de a cocaine injete daus l'escapte epidural par le procede du canal sacre. Comptes Rendies des Senaces de la Societe de Biologic et de ses Filliales, 1901; 53:452-453.
3. Pasquier NM, Leri D. Injection intra-e extradurales de cocaine a dose minime daus le traitment de la sciatique. Bull Gen Ther 1901; 142:196.
4. Pages E. Anestesia Metamerica. Rev Sanid Mil Madr 1921; 11:351-385.
5. Robechi A, Capra R. L'idrocortisone (composto F). Prime esperienze cliniche in campo reumatolgico. Minerva Med 1952; 98: 1259-1263.
6. Lievre J, Block-Michel H, Attali P. L'injection transsacree wtude clinique et radioogique. Bull Soc Med 1957; 73:1110-1118.
7. Brown J. Pressure anesthesia and back manipulation. North Med 1960; 59:905-909.
8. Goebert HW, Jallo SJ, Gardner WJ et al. Painful radiculopathy treated with epidural injections of procaine and hydrocortisone acetate: Results in 113 patients. Anesth Analg 1961; 140:130-134.
9. Mulligan K, Rowlingson J. Epidural steroids. Curr Pain Headache Rep 2001; 5: 495-502.
10. Waldman S. Epidural nerve block. In Weiner RS (ed). Innovations in Pain Management. PMD Press, Orlando, 1990, PP 4-5.
11. Pawl R, Matz M, Wissinger J et al. Epidural steroids for cervical and lumbar radiculopathy. Surg Neural 1996; 46:455-457.
12. Riew DK, Yin Y, Gilula L et al. The effect of nerve-root injections on the need for operative treatment of lumbar radicular pain: A prospective, randomized, controlled, double blind study. J Bone Joint Surg Am 2000; 82:1589-1593.
13. Saal J, Franson R, Dobrow R. High levels of inflammatory phospholipase A2 activity in lumbar disc herniations. Spine 1990 15: 674-678.
14. Franson R, Saal J, Saal J. Human disc phospholipase A2 is inflammatory. Spine 1992; 17:S129-5132.
15. Saal J. The role of inflammation in lumbar pain. Spine 1995; 20:1821-1827.
16. Lee H, Weinstein J, Metter S et al. The role of steroids and their effects on phospholipase A2: An animal model of radiculopathy. Spine 1988; 23:1191-1196.
17. Hayashi N, Weinstein JN, Meller ST et al. The effect of epidural injection of betamethasone or bupivacaine in a rat model of lumbar radiculopathy. Spine 1998; 23: 877-885.
18. Marshall L, Trethewie E, Curtain C. Chemical radiculitis: A clinical, physiological, and immunological study. Clin Orthop 1977; 190:61-67.
19. Doita M, Kanatani T, Harada T et al. Immunohistologic study of the ruptured intervertebral disc of the lumbar spine. Spine 1996; 21:235-241.
20. Haro H, Shinomya K, Komori H et al. Upregulated expression of the chemokines in herniated nucleus pulposus resorption. Spine 1996; 21:1647-1652.
21. McCarron R, Wimpee M, Hudkins P et al. The inflammatory effect of nucleus pulposus. A possible element in the pathogenesis of low back pain. Spine 1987; 12:760-764.
22. Weinstein S, Herring S. Epidural steroid injections. NASS Contemp Concepts 1994; Oct:1-11.
23. Vad VD, Bhat AL, Lutz GE et al. Transforaminal epidural steroid injections in lumbosacral radiculopathy: a prospective randomized study. Spine 2002; 27:11-16.
24. Karpinnen J, Malmivaara A, Kurunlahti M et al. Periradicular infiltration for sciatic. A randomized controlled trial. Spine 2001; 26:1059-1067.
25. Bromage P. Anatomy. In Bromage P (ed). Epidural anesthesia. WB Saunders, Philadelphia, 1978, pp 8-20.
26. Raj P. Central neural blocks. In Raj P, Nolte H, Stanton-Hicks M (eds). Illustrated Manual of Regional Anesthesia. Springer-Verlag, Heidelberg, 1988.
27. Han K, Kim C, Park S et al. Distance to the adult cervical epidural space. Reg Anesth Pain Med 2003; 28:95-97.
28. Renfrew D, Moore T, Kathol M. Correct placement of epidural steroid injections: fluoroscopic guidance and contrast administration. Am J Neuroradiol 1991; 12: 1003-1007.
29. el-Khoury G, Ehara S, Weinstein J. Epidural steroid injection: a procedure ideally performed with fluoroscopic control. Radiology 1988; 168:554-557.
30. Stitz M, Sommer H. Accuracy of blind versus fluoroscopically guided caudal epidural injection. Spine 1999; 24:1371-1376.
31. Stojanovic M, Vu T, Caneris O. The role of fluoroscopy in cervical epidural steroid injections: an analysis of contrast dispersal patterns. Spine 2002; 27:509-514.
32. White A, Derby R, Wynne G. Epidural injections for the diagnosis and treatment of low-back pain. Spine 1980; 5:78-86.
33. White A. Injection techniques for the diagnosis and treatment of low back pain. Orthop Clin North Am 1983; 14:553-567.
34. Mehta M, Salmon N. Extradural block. Confirmation of the injection site by X-ray monitoring. Anaesthesia 1985; 40:1009-1012.
35. Silbergleit R, Mehta B, Sanders W. Imaging-guided injection techniques with fluoroscopy and CT for spinal pain management. Radiographics 2001; 21:927-939.
36. Mori K, Yamashita J, Yamasaki S et al. Management of cervical syndromes with epidural injection of steroid hormones. Geka Chiryo 1969; 21:397-404.
37. Bush K, Hillier S. Outcome of cervical radiculopathy treated with periradicular/ epidural corticosteroid injections: A prospective study with independent clinical review. Eur Spine J 1996; 5:319-325.
38. Shulman J. Treatment of neck pain with cervical epidural steroid injection. Reg Anesth 1986; 11:92-94.
39. Fanciullo G, Hanscom B, Seville J. An observational study of the frequency and pattern of use of epidural steroid injection in 25,479 patients with spinal and radicular pain. Reg Anesth Pain Med 2001; 26:5-11.
40. Weinstein S, Herring S, Derby R. Contemporary concepts in spine care: Epidural steroid injections. Spine 1995; 20:1842-1846.
41. Shulman M, Nimmagadda U, Valenta A. Cervical epidural steroid injection for pain of cervical spine origin. Anesthesiology 1984; 61:A233.
42. Rowlingson J, Kirschenbaum L. Epidural analgesic techniques in the management of cervical pain. Anesth Analg 1986; 65: 938-942.
43. Martelletti P, Di Sabato F, Granata M. Epidural corticosteroid blockade in cervicogenic headache. Eur Rev Med Pharmacol Sci 1998; 2:31-36.
44. Martelletti P, Di Sabato F, Granata M. Failure of tong-term results of epidural steroid injecticon in cervicogenic headache. Eur Rev Med Pharmacol Sci 1998; 2:10.
45. Martelletti P, Di Sabato F, Granata M. Epidural steroid-based technique for cervicogenic headache diagnosis. Funct Neurol 1998; 13:84-87.
46. Castagnera L, Maurette P, Pointillart V et al. Long-term results of cervical epidural steroid injection with and without morphine in chronic cervical radicular pain. Pain 1994; 58:239-243.
47. Stav A, Ovadia L, Sternberg A et al. Cervical epidural steroid injection for cervicobrachialgia. Acta Anaesthesiol Scand 1993; 37:562-566.
48. Ferrante F, Wilson S, Evans P et al. Clinical classification as a predictor of therapeutic outcome after cervical epidural steroid injection. Spine 1993; 18:730-736.
49. Cicala R, Jones J, Westbrook L. Causalgic pain responding to epidural but not to sympathetic nerve blockade. Anesth Analg 1990; 70:218-219.
50. Cicala R, Thoni K, Angel J. Long-term results of cervical epidural steroid injections. Clin J Pain 1989; 5:143-145.
51. Cronen M, Waldman S. Cervical steroid epidural nerve blocks in the palliation of pain secondary to intractable tension-type headaches. J Pain Symptom Manage 1990; 5:379-381.
52. Waldman S. Complications of cervical epidural nerve blocks with steroids: a prospective study of 790 consecutive blocks. Reg Anesth 1989; 14:149-151.
53. Dirksen R, Rutgers M, Coolen J. Cervical epidural steroids in reflex sympathetic dystrophy. Anesthesiology 1987; 66:71-73.
54. Botwin K, Castellanos R, Rao S. Complications of fluoroscopically guided interlaminar cervical epidural injections. Arch Phys Med Rehabil 2003; 84:627-633.
55. Catchlove R, Braha R. The use of cervical epidural nerve blocks in the management of chronic head and neck pain. Can Anaesth Soc J 1984; 31:188-191.
56. Simopoulos T, Peeters-Asdourian C. Pneumocephalus after cervical epidural steroid injection. Anesth Analg 2001; 92:1576-1577.
57. Baker R, Dreyfuss P, Mercer S et al. Cervical transforaminal injection of corticosteroids into a radicular artery: a possible mechanism for spinal cord injury. Pain 2003; 103:211-215.
58. Field J, Rathmell J, Stephenson J. Neuropathic pain following cervical epidural steroid injection. Anesthesiology 2000; 93: 885-888.
59. Reitman C, Watters W. Subdural hematoma after cervical epidural steroid injection. Spine 2002; 27:E174-E176,
60. Stoll A, Sanchez M. Epidural hematoma after epidural block: Implications for its use in pain management. Surg Neurol 2002; 57:235-240.
61. Hodges S, Castleberg R, Miller T et al. Cervical epidural steroid injection with intrinsic spinal cord damage. Two case reports. Spine 1998; 23:2137-2142.
62. Brouwers P, Kottnik E, Simon M et al. A cervical anterior artery syndrome after diagnostic blockade of the right C6 nerve root. Pain 2001; 91:397-399.
63. Manchikanti L. Cervical epidural steroid injection with intrinsic spinal cord damage. Spine 1999; 24:1170-1172.
64. Siegfried R. Development of complex regional pain syndrome after a cervical epidural steroid injection. Anesthesiology 1997; 86:1394-1396,
65. Williams K, Jackowski A, Evans P et al. Epidural hematoma requiring surgical decompression following repeated cervical epidural steroid injections for chronic pain. Pain 1990; 42:197-199.
66. Cicala R, Westbrook L, Angel J. Side effects and complications of cervical epidural steroid injections. J Pain Symptom Manage 1989; 4:64-66.
67. Waldman S. Cervical epidural abscess after cervical epidural nerve block with steroids. Anesth Analg 1991; 72:717-718.
68. Abram 5, O'Connor T. Complications associated with epidural steroid injections. Reg Anesth 1996; 21:149-162.
69. Houten J, Errico T. Paraplegia after lumbosacral nerve root block: Report of three cases. Spine J 2002; 2:70-75.
70. Dickman C, Shedd S, Spetzler R et al. Spinal epidural hematoma associated with epidural anesthesia: Complications of systemic heparinization in patients receiving peripheral vascular thrombolytic therapy. Anesthesiology 1990; 72:947-950.
71. Kirkpatrick D, Goodman S. Combined sub-arachnoid and subdural spinal hematoma following spinal puncture. Surg Neurol 1975; 3:109-111.
72. Onishchuk J, Carlsson C. Epidural hematoma associated with epidural anesthesia: complications of anticoagulant therapy. Anesthesiology 1992; 77:1221-1223,
73. Wilkes N, Mallett S, Peachey T. Vertebral canal hematoma is a hazard of spinal-epidural anaesthesia in patients treated with low-molecular weight heparins. Br J Anaesth 1999; 83:352-353.
74. Pawl RP, Anderson W, Shulman M. Effect of epidural steroids in the cervical and lumbar region on surgical intervention for diskogenic spondylosis. In Fields HL, Dubner R, Cerveero F (eds). Advances in Pain Research and Therapy. Raven Press, New York, 1985, pp 791-798.
75. Sampath P, Bendebba M, Davis J et al. Outcome in patients with cervical radiculopathy: prospective, multicenter study with independent clinical review. Spine 1999; 24:591-597.
76. Persson L, Carlsson C, Carlsson A. Long-lasting cervical radicular pain managed with surgery, physiotherapy, or a cervical collar. Spine 1997; 22:751-758.
77. Slipman C, Lipetz J, Jackson H et al. Therapeutic selective nerve root block in the nonsurgical treatment of atraumatic cervical spondylotic radicular pain: A retrospective analysis with independent clinical review. Arch Phys Med Rehabil 2000; 81:741-746.
78. Vallee J, Feydy A, Carlier R et al. Chronic cervical radiculopathy: Lateral-approach periradicular corticosteroid injection. Radiology 2001; 218:886-892.
79. Slosar P Jr, White A, Wetzel F. Controversy. The use of selective nerve root blocks: Diagnostic, therapeutic, or placebo? Spine 1998; 15:2253-2256.
80. Furman M, Giovanniello M, O'Brien E. Incidence of intravascular penetration in transforaminal cervical epidural steroid injections. Spine 2003; 28:21-25.
81. Cluff R, Mehio A, Cohen S et al. The technical aspects of epidural steroid injections: A national survey. Anesth Analg 2002; 95: 403-408.
82. Bromage PR, Benumof JF. Reg Anesth 1998; 23:104-107.
83. Derby R. Discussion of cervical epidural steroid injection with intrinsic spinal cord damage. Two case reports. Spine 1998; 23:2141-2142.
84. Greaves J. Serious spinal cord injury due to hematomyelia in a patient treated with low-dose heparin. Anesthesia 1997; 52: 150-154.
85. Mayall M, Calder I. Spinal cord injury following an attempted thoracic epidural. Anesthesia 1999; 54:990-994.
86. Pounder D, Elliot S. An awake patient may not detect spinal cord puncture. (Correspondence) Anesthesia 2000; 55:194.
87. Servo A, Laasonen E. Accidental introduction of contrast medium into the cervical spinal cord. A case report. Neuroradiology 1985; 27:80-82.
88. Slipman C, Chow D. Therapeutic spinal corticosteroid injections for the management of radiculopathies. Phys Med Rehabil Clin N AM 2002; 13:691-711.
89. Lutz G, Vad V, Wisneski R. Fluoroscopic transforaminal lumbar epidural steroids: An outcome study. Arch Phys Med Rehab 1998; 79:1362-1366.
90. Nash T. Comment on A cervical anterior spinal artery syndrome after a diagnostic blockade of the right C6 nerve root. PJAM Brouwers et al. Pain 91 (2001) 397-399, Pain 2002, 92:217-218.
91. Berger O, Dousset V, Delmer O et al. Evaluation of the efficacy of foraminal infusions of corticosteroids guided by computed tomography in the treatment of radicular pain by foraminal injection.J Radiol 1999; 80:917-925.
92. Zennaro H, Dousset V, Viaud B et al. Periganglionic foraminal steroid injections performed under CT control. AJNR Am J Neuroradiol 1998; 19:349-352.
93. Morvan G, Mompoint D, Bard M et al. Direct intra-foraminal injection of corticosteroids in the treatment of cervico-brachial pain. In Bard M, Laredo J (eds). Interventional Radiology in Bone and Joint. Springer-Verlag, New York, 1988, pp 253-257.
94. Larkin T, Carragee E, Cohen S. A novel technique for delivery of epidural steroids and diagnosing the level of nerve root pathology. J Spinal Disord Tech 2003; 16:186-192.
95. Horlocker T, Wedel D, Benzon H et al. Regional anesthesia in the anticoagulated patient: Defining the risks (the second ASRA Consensus Conference on Neuraxial Anesthesia and Anticoagulation). Reg Anesth Pain Med 2003; 28:172-197.
96. Windsor R, Pinzon E, Gore H. Complications of common selective spinal injections: prevention and management. Am J Orthop 2000; 29:759-770.
97. Wysowski D, Talarico L, Bacsanyi J et al. Spinal and epidural hematoma and low-molecular-weight heparin. N Engl J Med 1998; 338:1774-1775.