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Skeletal Radiology

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20.07.2022 | Review Article

Interlaminar versus transforaminal epidural steroid injections: a review of efficacy and safety

verfasst von: Eugene Lee, Joon Woo Lee, Heung Sik Kang

Erschienen in: Skeletal Radiology | Ausgabe 10/2023

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Abstract

Spine intervention is an important treatment option for the management of spinal pain, and the numbers of the most representative epidural steroid injection (ESI) procedures performed are expected to increase significantly in the future along with increased life expectancy and the increasing prevalence of spinal disorders. Therefore, it is important to understand the efficacy of ESIs according to each spinal disorder they are administered to treat, and one must be familiar with the possible complications. In fact, although numerous ESI-related articles have been published, there is still considerable controversy regarding the efficacy of ESI procedures. Furthermore, due to the rarity of serious complications, most instances have been recorded in the form of case reports. In this article, we aimed to review the indications of cervical and lumbar ESIs and to compare interlaminar ESI (ILESI) and transforaminal ESI (TFESI) techniques in terms of analgesic efficacy, possible complications, and safety profiles. This article includes opinions based on the authors’ experience with ESI indications and efficacy, and presents practical tips for coping with specific situations related to each complication. By combining the dedicated anatomical understanding of radiologists with image-guided interventions, ESI is expected to stand out in the rapidly expanding field of spine intervention.

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Titel: Interlaminar versus transforaminal epidural steroid injections: a review of efficacy and safety
verfasst von: Eugene Lee
Joon Woo Lee
Heung Sik Kang
Publikationsdatum: 20.07.2022
Verlag: Springer Berlin Heidelberg
Erschienen in: Skeletal Radiology / Ausgabe 10/2023
Print ISSN: 0364-2348
Elektronische ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-022-04124-3

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Interlaminar versus transforaminal epidural steroid injections: a review of efficacy and safety

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