Analgesia, Epidural Clinical Trial
Official title:
Correlation of Intravascular Injection Rate and Severity of Cervical Neural Foraminal Stenosis During Cervical Transforaminal Epidural Steroid Injection: a Prospective Study
This study evaluates whether there is a correlation between intravascular injection rate and severity of cervical foraminal stenosis during cervical transforaminal epidural steroid injection
Cervical transforaminal epidural steroid injection (CTFESI) is useful option to improve
cervical radicular pain. However, severe complication can occur by CTFESI such as epidural
hematomas, infection, inadvertent intramedullary cord injections, and embolic infarct when
inadvertent intra-arterial injection of particulate steroids has occurred.
The incidence of intravascular injection during CTFESI was known as 20.6% ~ 32.8% and it is
higher than other level of spinal transforaminal epidural injection.
To avoid complication due to intravascular injection during CTFESI, risk factors was should
be evaluated. However, there was no study about risk factors of intravascular injection
during CTFESI. The investigators could assume the severity of cervical neural foraminal
spinal stenosis could affect the incidence of intravascular injection, pain intensity and
effectiveness during CTFESI.
Thus, the investigators designed this study to investigate whether there is a correlation
between intravascular injection rate and severity of cervical foraminal stenosis during
CTFESI.
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