Cervical Transforaminal Epidural Steroid Injection

Kim, Ruby E.; Cohen, Isaac; Furman, Michael B.

doi:10.1016/b978-0-323-40153-1.00051-2

Atlas of Image-Guided Spinal Procedures 2018

DOI: 10.1016/b978-0-323-40153-1.00051-2

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Cervical Transforaminal Epidural Steroid Injection

Ruby E. Kim¹,

Isaac Cohen²,

Michael B. Furman³

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2023

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“…8,[12][13][14] Due to the anterior and inferior location of the vessels with respect to the cervical foramina, the accepted approach for cervical TFESI is to remain in the posterior aspect of the foramen, immediately anterior to the superior articular process. 13,15 However, the optimal approach to lumbar TFESI remains debated. It is, therefore, with great interest and focus on safety that we consider the percutaneous approach to the lumbar neural foramen.…”

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confidence: 99%

Pro-Con Debate: Superior Versus Inferior Triangle Needle Placement in Transforaminal Epidural Injections

Doshi,

Engle,

Przybysz

et al. 2023

Anesthesia &Amp; Analgesia

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Although transforaminal epidural injections have long been used for radicular pain, there is no universal standard injection approach to the neural foramen. The intervertebral foramen and its surrounding structures comprise an anatomically sensitive area that includes bone and joint structures, the intervertebral disk, blood vessels (in particular, the radicular arteries), the epidural sheath, and the spinal nerve root. Given the relatively high risk of inadvertent injury or injection to these nearby structures, image guidance for transforaminal epidural steroid injections (TFESIs) is standard of care. However, there is a lack of consensus regarding the optimal approach to the neural foramen: from the traditional superior (“safe”) triangle or from the inferior (Kambin’s) triangle. In this Pro-Con commentary article, we discuss the relative advantages and disadvantages of each approach for TFESIs.

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mentioning

confidence: 99%

Pro-Con Debate: Superior Versus Inferior Triangle Needle Placement in Transforaminal Epidural Injections

Doshi,

Engle,

Przybysz

et al. 2023

Anesthesia &Amp; Analgesia

View full text Add to dashboard Cite

show abstract

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Cervical Transforaminal Epidural Steroid Injection

Cited by 1 publication

References 8 publications

Pro-Con Debate: Superior Versus Inferior Triangle Needle Placement in Transforaminal Epidural Injections

Pro-Con Debate: Superior Versus Inferior Triangle Needle Placement in Transforaminal Epidural Injections

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