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

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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

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

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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