The Incidence of the Intravascular Injection During S1 Transforaminal Epidural Steroid Injection in Two Approaches: Anteroposterior Versus Oblique

Yonsei University

Status: Completed

Conditions: Lumbosacral Radicular Pain

Treatments: Procedure: oblique approach group; Procedure: anteroposterior approach group

Study type: Interventional

Funder types: Other

Identifiers

NCT01926470

4-2013-0310

Details and patient eligibility

About

Lumbosacral transforaminal epidural steroid injection (TFESI) is helpful for the treatment of lumbosacral radicular pain, but in case of intravascular injection, infrequently serious complication can be developed. Against this backdrop, if there is any difference of frequency of intravascular injection incidence during S1 TFESI between method in anteroposterior view and method in oblique view using Scotty dog, the result can be crucial factor in selecting the approach. In addition, appropriate volume of injection will be checked in each approach.

Enrollment: 201 patients

Sex: All

Ages: 20 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult patients (20-80 years of age) who were scheduled to receive S1 transforaminal epidural steroid injection for lumbosacral radicular pain at our pain management clinic

Exclusion criteria

• pregnancy
• coagulopathy
• systemic infection
• any active infection at the injection site
• history of allergy to contrast media, local anesthetics, corticosteroid
• patients unable to communicate or patients with cognitive dysfunction

Trial design

201 participants in 2 patient groups

anteroposterior approach group

Experimental group

Description:

anteroposterior approach group

Treatment:

Procedure: anteroposterior approach group

oblique approach group

Active Comparator group

Description:

oblique approach group

Treatment:

Procedure: oblique approach group