The Efficacy of Lumbar Epidural Steroid Injections: Transforaminal, Interlaminar, and Caudal Approaches

Physical Medicine and Rehabilitation Clinics of North America

Volumn 22, Issue 1, 2011, Pages 139-148

  Rho, Monica E ^a   Tang, Chi Tsai ^b  

^a NORTHWESTERN UNIVERSITY   (United States)

^b BARNES JEWISH HOSPITAL   (United States)

Author keywords

Caudal; Efficacy; Epidural steroid injection; Interlaminar; Low back pain; Transforaminal

Indexed keywords

BETAMETHASONE; BUPIVACAINE; DEXAMETHASONE; LIDOCAINE; METHYLPREDNISOLONE; PLACEBO; STEROID; TRIAMCINOLONE;

BACKACHE; CAUDAL EPIDURAL INJECTION; COMBINATION CHEMOTHERAPY; CONSERVATIVE TREATMENT; DRUG ADMINISTRATION ROUTE; DRUG EFFICACY; DRUG RESPONSE; HUMAN; INTERMETHOD COMPARISON; INTERVERTEBRAL DISK HERNIA; INTERVERTEBRAL DISKECTOMY; INTRALAMINAR EPIDURAL INJECTION; ISCHIALGIA; LEG PAIN; LOW BACK PAIN; MONOTHERAPY; PRIORITY JOURNAL; RADICULOPATHY; REVIEW; TRANSFORAMINAL EPIDURAL INJECTION; TREATMENT OUTCOME;

ADRENAL CORTEX HORMONES; HUMANS; INJECTIONS, EPIDURAL; LOW BACK PAIN; LUMBOSACRAL REGION; RADICULOPATHY;

EID: 79251576466     PISSN: 10479651     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.pmr.2010.10.006     Document Type: Review

References (32)

1. Bhatia M.T., Parikh C.J. Epidural-saline therapy in lumbosciatic syndrome. J Indian Med Assoc 1966, 47:537-542.
2. Gupta A.K., Mital V.K., Azmi R.U. Observations on the management of lumbosciatic syndrome (sciatica) by epidural saline injection. J Indian Med Assoc 1970, 54:194-196.
3. Nelemans P.J., deBie R.A., deVe H.C., et al. Injection therapy for subacute and chronic benign low back pain [review]. Spine 2001, 26:501-515.
4. Roberts S.T., Willick S.E., Rho M.E., et al. Efficacy of lumbosacral transforaminal epidural steroid injections: a systematic review. PM R 2009, 1:657-668.
5. Boswell M.V., Hansen H.C., Trescot A.M., et al. Epidural steroids in the management of chronic spinal pain and radiculopathy. Pain Physician 2003, 6:319-334.
6. DePalma M.J., Bhargava A., Slipman C.W. A critical appraisal of the evidence for selective nerve root injection in the treatment of lumbosacral radiculopathy. Arch Phys Med Rehabil 2005, 86:1477-1483.
7. Young I.A., Hyman G.S., Packia-Raj L.N., et al. The use of lumbar epidural/transforaminal steroids for managing spinal disease. J Am Acad Orthop Surg 2007, 15:228-238.
8. Abdi S., Datta S., Trescot A.M., et al. Epidural steroids in the management of chronic spinal pain: A systematic review. Pain Physician 2007, 10:185-212.
9. Armon C., Argoff C.E., Samuels J., et al. Assessment: use of epidural steroid injections to treat radicular lumbosacral pain: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 2007, 68:723-729.
10. Buenaventura R.M., Datta S., Abdi S., et al. Systematic review of therapeutic lumbar transforaminal epidural steroid injections. Pain Physician 2009, 12:233-251.
11. Levin J.H. Prospective, double-blind, randomized placebo-controlled trials in interventional spine: what the highest quality literature tells us. Spine J 2009, 9:690-703.
12. McLain R.F., Kapural L., Mekhail N.A. Epidural steroid therapy for back and leg pain: mechanisms of action and efficacy. Spine J 2005, 5:191-201.
13. Wright J.G. Introducing levels of evidence to the journal. JBJS 2003, 85A(1):1-3.
14. Riew K.D., 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-A:1589-1593.
15. Riew K.D., Park J.B., Cho Y.S., et al. Nerve root blocks in the treatment of lumbar radicular pain. A minimum five-year follow-up. J Bone Joint Surg Am 2006, 88(8):1722-1725.
16. Karppinen J., Malmivaara A., Kurunlahti M., et al. Periradicular infiltration for sciatica: a randomized controlled trial. Spine 2001, 26:1059-1067.
17. Karppinen J., Ohinmaa A., Malmivaara A., et al. Cost effectiveness of periradicular infiltration for sciatica: subgroup analysis of a randomized controlled trial. Spine 2001, 26(23):2587-2595.
18. Ng L., Chaudhary N., Sell P. The efficacy of corticosteroids in periradicular infiltration for chronic radicular pain: a randomized, double blind, controlled trial. Spine 2005, 30:857-862.
19. Ghahreman A., Ferch R., Bogduk N. The efficacy of transforaminal injection of steroids for the treatment of lumbar radicular pain. Pain Med 2010, 11:1149-1168.
20. Ackermann W.E., Ahmad M. The efficacy of lumbar epidural steroid injections in patients with lumbar disc herniations. Anesth Analg 2007, 104:1217-1222.
21. Buttermann G.R. Treatment of lumbar disc herniation: epidural steroid injection compared with discectomy. J Bone Joint Surg Am 2004, 86(4):670-679.
22. Carette S., Leclaire R., Marcoux S., et al. Epidural corticosteroid injections for sciatica due to herniated nucleus pulposus. N Engl J Med 1997, 336(23):1634-1640.
23. Valat J.P., Giraudau B., Rozenberg S., et al. Epidural corticosteroid injections for sciatica: a randomized, double-blind, controlled clinical trial. Ann Rheum Dis 2003, 62:639-643.
24. Sayegh F.E., Kenanidis E.I., Papavasiliou K.A., et al. Efficacy of steroid and nonsteroid caudal epidural injections for low back pain and sciatica: a prospective, randomized, double-blind clinical trial. Spine 2009, 34:1441-1447.
25. Vad V.B., Bhat A.L., Lutz G.E., et al. Transforaminal epidural steroid injections in lumbosacral radiculopathy: a prospective randomized study. Spine 2002, 27:11-16.
26. Devulder J., Deene P., DeLaat M., et al. Nerve root sleeve injections in patients with failed back surgery syndrome: a comparison of three solutions. Clin J Pain 1999, 15(2):132-135.
27. Kolsi I., Delecrin J., Berthelot J.M., et al. Efficacy of nerve root versus interspinous injections of glucocorticoids in the treatment of disk-related sciatica. A pilot, prospective randomized, double-blind study. Joint Bone Spine 2000, 67:113-118.
28. Thomas E., Cyteval C., Abiad L., et al. Efficacy of transforaminal versus interspinous corticosteroid injection in discal radiculalgia - a prospective randomized, double-blind study. Clin Rheumatol 2003, 22:299-304.
29. Candido K.D., Raghavendra M.S., Chinthagada M., et al. A prospective evaluation of iodinated contrast flow patterns with fluoroscopically guided lumbar epidural steroid injections: the lateral parasagittal interlaminar epidural approach versus the transforaminal epidural approach. Anesth Analg 2008, 106(2):638-644.
30. Schaufele M.K., Hatch L., Jones W. Interlaminar versus transforaminal epidural injections for the treatment of symptomatic lumbar intervertebral disc herniations. Pain Physician 2006, 9:361-366.
31. Manchikanti L., Pakanati R.R., Pampati V. Comparison of three routes of epidural steroid injections in low back pain. Pain Digest 1999, 9:277-285.
32. Lutz G.E., Vad V.B., Wisneski R.J. Fluoroscopic transforaminal lumbar epidural steroids: an outcome study. Arch Phys Med Rehabil 1998, 79:1362-1366.