Incidence of intradiscal injection during lumbar fluoroscopically guided transforaminal and interlaminar epidural steroid injections

Kenneth D. Candido; Jeffrey A. Katz; Mariadas Chinthagada; Robert A. McCarthy; Nebojsa Nick Knezevic

doi:10.1213/ANE.0b013e3181d6bd12

Incidence of intradiscal injection during lumbar fluoroscopically guided transforaminal and interlaminar epidural steroid injections

Kenneth D. Candido, Jeffrey A. Katz, Mariadas Chinthagada, Robert A. McCarthy, Nebojsa Nick Knezevic

Anesthesiology

Research output: Contribution to journal › Article › peer-review

33 Scopus citations

Abstract

Intradiscal injections during transforaminal epidural steroid injections and interlaminar lumbar epidural steroid injections have been reported rarely. In that regard, this retrospective observational report is the first attempt to quantify the overall rate of this complication. A retrospective analysis of 3 years of accrued data (2004-2007) showed that 2412 transforaminal epidural steroid injections were performed at the 2 training institutions (Loyola University Medical Center and Northwestern University/Feinberg School of Medicine). There were 6 intradiscal (annular) injections of contrast, for a rate of 1:402. Over the same interval, 4723 lumbar epidural steroid injections were performed, with 1 intradiscal injection, for a rate of 1:4723.

Original language	English (US)
Pages (from-to)	1464-1467
Number of pages	4
Journal	Anesthesia and analgesia
Volume	110
Issue number	5
DOIs	https://doi.org/10.1213/ANE.0b013e3181d6bd12
State	Published - May 2010

ASJC Scopus subject areas

Anesthesiology and Pain Medicine

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10.1213/ANE.0b013e3181d6bd12

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title = "Incidence of intradiscal injection during lumbar fluoroscopically guided transforaminal and interlaminar epidural steroid injections",

abstract = "Intradiscal injections during transforaminal epidural steroid injections and interlaminar lumbar epidural steroid injections have been reported rarely. In that regard, this retrospective observational report is the first attempt to quantify the overall rate of this complication. A retrospective analysis of 3 years of accrued data (2004-2007) showed that 2412 transforaminal epidural steroid injections were performed at the 2 training institutions (Loyola University Medical Center and Northwestern University/Feinberg School of Medicine). There were 6 intradiscal (annular) injections of contrast, for a rate of 1:402. Over the same interval, 4723 lumbar epidural steroid injections were performed, with 1 intradiscal injection, for a rate of 1:4723.",

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T1 - Incidence of intradiscal injection during lumbar fluoroscopically guided transforaminal and interlaminar epidural steroid injections

AU - Candido, Kenneth D.

AU - Katz, Jeffrey A.

AU - Chinthagada, Mariadas

AU - McCarthy, Robert A.

AU - Knezevic, Nebojsa Nick

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AB - Intradiscal injections during transforaminal epidural steroid injections and interlaminar lumbar epidural steroid injections have been reported rarely. In that regard, this retrospective observational report is the first attempt to quantify the overall rate of this complication. A retrospective analysis of 3 years of accrued data (2004-2007) showed that 2412 transforaminal epidural steroid injections were performed at the 2 training institutions (Loyola University Medical Center and Northwestern University/Feinberg School of Medicine). There were 6 intradiscal (annular) injections of contrast, for a rate of 1:402. Over the same interval, 4723 lumbar epidural steroid injections were performed, with 1 intradiscal injection, for a rate of 1:4723.

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Incidence of intradiscal injection during lumbar fluoroscopically guided transforaminal and interlaminar epidural steroid injections

Abstract

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