Toward improving the safety of transforaminal injection

Anesthesia and Analgesia

Volumn 109, Issue 1, 2009, Pages 8-10

  Rathmell, James P ^a,b  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

STEROID;

CERVICAL SPINE; CONTRAST ENHANCEMENT; CORTICOSTEROID THERAPY; EDITORIAL; FLUOROSCOPY; HUMAN; INJECTION SITE; PATIENT SAFETY; PRIORITY JOURNAL; RADICULAR PAIN; RISK ASSESSMENT; RISK REDUCTION; DRUG EFFECT; INTERVERTEBRAL DISK; INTERVERTEBRAL DISK HERNIA; INTRASPINAL DRUG ADMINISTRATION; METHODOLOGY; NOTE; PATHOPHYSIOLOGY; VASCULARIZATION;

HUMANS; INJECTIONS, SPINAL; INTERVERTEBRAL DISK; INTERVERTEBRAL DISK DISPLACEMENT; STEROIDS;

EID: 67650657113     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/ane.0b013e3181a81ee1     Document Type: Editorial

References (13)

1. Young IA, Hyman GS, Packia-Raj LN, Cole AJ. The use of lumbar epidural/transforaminal steroids for managing spinal disease. J Am Acad Orthop Surg 2007;15:228-38
2. Schaufele MK, Hatch L, Jones W. Interlaminar versus transforaminal epidural injections for the treatment of symptomatic lumbar intervertebral disc herniations. Pain Physician 2006;9:361- 6
3. Ackerman WE III, Ahmad M. The efficacy of lumbar epidural steroid injections in patients with lumbar discherniations. Anesth Analg 2007;104:1217-22
4. Baker R, Dreyfuss P, Mercer S, Bogduk N. Cervical transforami-nal injection of corticosteroids into a radicular artery: a possible mechanism for spinal cord injury. Pain 2003;103:211-5
5. Muro K, O'Shaughnessy B, Ganju A. Infarction of the cervical spinal cord following multilevel transforaminal epidural steroid injection: case report and review of the literature. J Spinal Cord Med 2007;30:385-8
6. Tiso RL, Cutler T, Catania JA, Whalen K. Adverse central nervous system sequelae after selective transforaminal block: the role of corticosteroids. Spine J 2004;4:468-74
7. Rozin L, Rozin R, Koehler SA, ShakirA, Ladham S, Barmada M, Dominick J, Wecht CH. Death during transforaminal epidural steroid nerve root block (C7) due to perforation of the left vertebral artery. Am J Forensic Med Pathol 2003;24:351-5
8. Houten JK, Errico TJ. Paraplegia after lumbosacral nerve root block: report of three cases. Spine J 2002;2:70-5
9. Rathmell JP, Aprill C, Bogduk N. Cervical transforaminal injection of steroids. Anesthesiology 2004;100:1595-600
10. Okubadejo GO, Talcott MR, Schmidt RE, Sharma A, Patel AA, Mackey RB, Guarino AH, Moran CJ, Riew KD. Perils of intra-vascular methylprednisolone injection into the vertebral artery. An animal study. J Bone Joint Surg Am 2008;90:1932-8
11. Kim DW, Han KR, Kim C, Chae YJ. Intravascular flow patterns in transforaminal epidural injections: a comparative study of the cervical and lumbar vertebral segments. Anesth Analg 2009;109:233-9
12. Furman MB, Giovanniello MT, O'Brien EM. Incidence of intravascular penetration in transforaminal cervical epidural steroid injections. Spine 2003;28:21-5
13. Furman MB, O'Brien EM, Zgleszewski TM. Incidence of intravascular penetration in transforaminal lumbosacral epidural steroid injections. Spine 2000;25:2628-32