Erschienen in:
01.02.2015 | Perspective
Particulate versus non-particulate steroids for lumbar transforaminal or interlaminar epidural steroid injections: an update
verfasst von:
Tobias J. Dietrich, Reto Sutter, Johannes M. Froehlich, Christian W. A. Pfirrmann
Erschienen in:
Skeletal Radiology
|
Ausgabe 2/2015
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Excerpt
Lumbar transforaminal and interlaminar epidural steroid injections are widely used to treat patients with radicular pain and radiculopathy [
1]. These lumbar spine procedures are reported to be clinically effective for short-term and long-term pain relief by some studies [
2‐
5]. However, a relative lack of randomized and controlled clinical trials and as well as variability of the employed study methods were noted [
6]. Thus, some controversy concerning the effectiveness of lumbar transforaminal and interlaminar epidural steroid injections still remains [
6,
7]. Moreover, it should be emphasized that these indications and use are often performed on an off-label basis. The question arises whether just formal approval is lacking or whether extensive medical literature provides sufficient evidence-based efficacy and safety data for this off-label use. …