The Incidence of the Intravascular Injection During S1 Transforaminal Epidural Steroid Injection in Two Approaches: Medial vs Lateral in Anteroposterior View

Yonsei University

Status: Completed

Conditions: Lumbosacral Radicular Pain

Treatments: Drug: S1 transforaminal epidural steroid(dexamethasone) injection

Study type: Interventional

Funder types: Other

Identifiers

NCT02867046

4-2016-0442

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 (sacrum 1) TFESI between method using medial approach and method using lateral approach in anteroposterior view, the result can be crucial factor in selecting the approach. In addition, appropriate volume of injection will be checked in each approach.

Enrollment: 165 patients

Sex: All

Ages: 20 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

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

Exclusion criteria

1. pregnancy
2. coagulopathy
3. systemic infection
4. any active infection at the injection site
5. history of allergy to contrast media, local anesthetics, corticosteroid
6. patients unable to communicate or patients with cognitive dysfunction

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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165 participants in 2 patient groups

medial approach group

Experimental group

Treatment:

Drug: S1 transforaminal epidural steroid(dexamethasone) injection

lateral approach group

Active Comparator group

Treatment:

Drug: S1 transforaminal epidural steroid(dexamethasone) injection