Influence of needle-tip position on the incidence of immediate complications in 2,217 selective lumbar nerve root blocks

Stalcup, Seth; Crall, Timothy S.; Gilula, Louis A.; Riew, K. Daniel

doi:10.1016/j.spinee.2005.08.009

Cited by 36 publications

(47 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One study was a diagnostic cohort study, 28 one was a RCT 42 and five studies were case series. 25,[43][44][45][46] Publication dates ranged from 1973 to 2010. Only one study 25 reported on the complications of SNRBs in the lumbar spine as the primary outcome of interest.…”

Section: Summary Of Test Accuracy Resultsmentioning

confidence: 99%

“…12 Nevertheless, the early surgery group experienced a greater increase in quality-adjusted life-years (QALYs) owing to faster relief of symptoms, and the cost per QALY gained of surgery was €41,000 (approximately £32,930). Given that the National Institute for Health and Care Excellence (NICE) threshold for defining cost-effective use of health service money is £20,000-30,000 per QALY, 13 the economic case for surgery seems finely balanced.…”

Section: Frequency Of Lumbar Decompressive Surgery Clinical Effectivmentioning

confidence: 99%

“…The diagnostic value of SNRB should be weighed against the costs and the small risk of complications associated with the procedure such as leg weakness or exacerbation of pain. 25 Very rarely, there have been case reports of more serious complications, such as paraplegia. 26 The diagnostic accuracy of selective nerve root blocks…”

Section: Diagnostic Selective Nerve Root Blocksmentioning

confidence: 99%

See 2 more Smart Citations

The diagnostic utility and cost-effectiveness of selective nerve root blocks in patients considered for lumbar decompression surgery: a systematic review and economic model

Beynon

Hawkins²,

Laing³

et al. 2013

Health Technol Assess

View full text Add to dashboard Cite

Reports are published in Health Technology Assessment (HTA) if (1) they have resulted from work for the HTA programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Health Technology Assessment are termed 'systematic' when the account of the search appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. HTA programmeThe HTA programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care.The journal is indexed in NHS Evidence via its abstracts included in MEDLINE and its Technology Assessment Reports inform National Institute for Health and Care Excellence (NICE) guidance. HTA research is also an important source of evidence for National Screening Committee (NSC) policy decisions.For more information about the HTA programme please visit the website: www.hta.ac.uk/ This reportThe research reported in this issue of the journal was funded by the HTA programme as project number 09/111/01. The contractual start date was in August 2010. The draft report began editorial review in February 2012 and was accepted for publication in October 2012. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HTA editors and publisher have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the draft document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HTA programme or the Department of Health.

show abstract

Section: Summary Of Test Accuracy Resultsmentioning

confidence: 99%

Section: Frequency Of Lumbar Decompressive Surgery Clinical Effectivmentioning

confidence: 99%

Section: Diagnostic Selective Nerve Root Blocksmentioning

confidence: 99%

See 1 more Smart Citation

The diagnostic utility and cost-effectiveness of selective nerve root blocks in patients considered for lumbar decompression surgery: a systematic review and economic model

Beynon

Hawkins²,

Laing³

et al. 2013

Health Technol Assess

View full text Add to dashboard Cite

show abstract

“…Yine Stalcup ve ark. [25] 2006 yılındaki bir çalışmalarında benzer şekilde hiç majör komplikasyonla karşılaşmadık-larını, minör komplikasyonların sıklığını ise %5.5 olarak ilan etmişlerdir. Bu iki retrospektif çalışma-nın dışında, Huston ve ark.…”

Section: Discussionunclassified

Efficacy of transforaminal lumbar epidural steroid injections in patients with lumbar radiculopathy

Çetin¹,

Karaman²,

Kavak³

et al. 2012

Agri

View full text Add to dashboard Cite

SummaryObjectives: This study looks into the efficacy and safety of the transforaminal lumbar epidural steroid injection (TLESI) ÖzetAmaç: Bu çalışmada, lumbar disk hernisine bağlı radikülopatisi olan hastalara uygulanan transforaminal lumbar epidural steroid enjeksiyonun (TLESE) etkinliği ve güvenliği araştırıldı. Gereç ve Yöntem:Çalışma TLESE uygulanan hastaların dosyalarının retrospektif olarak taranması ile hazırlandı. En az bir aydır devam eden, konservatif tedaviye yanıt vermeyen, görüntüleme yöntemlerinde bulging ya da protrüzyon'u olan lumbar disk herni'li hastalar çalışmaya dahil edildi. Bütün uygulamalar C-kollu floroskopi eşliğinde, lokal anestezi altında ve ayaktan metotla uygulandı. Tüm olgularda 80 mg triamsinolon ve %0.25'lik bupivakain karışımı, disk hernisinin olduğu düzeyden, transforaminal olarak, anterior epidural bölgeye enjekte edildi. Başlangıç VAS ağrı skorları değerleri, uygulama sonrası 1., 3. ve 6. ay değerleri ile karşılaştırıldı. Uygulamaya yönelik hasta memnuniyeti, puanlanarak tespit edildi. Ayrıca erken ve geç dönem komplikasyonları değerlendirme için toplandı. Bulgular:Toplam 222 hastaya 460 kez TLESE uygulanmıştır (ortalama: 2.1, tekrarlanma aralığı: 1-6 kez). Uygulamalar en sık L4-L5 ve L5-S1 düzeylerinden gerçekleştirilmiştir. Başlangıç VAS skorları ortalaması 8.2±0.7 iken, TLESE sonrası 1., 3. ve 6. ayda sırasıyla 5.0±1.6, 4.8±1.5 ve 5.1±1.5 olarak bulunmuştur. Hastaların %63.9'u (n=142) memnuniyetlerini "iyi ve mükemmel" olarak belirtmişlerdir. Majör komplikasyonun yaşanmadığı bu çalışmada toplam minör komplikasyon oranı %11.1' dir.Sonuç: TLESE'nin kısa ve orta dönemde etkin ve güvenli bir yöntem olduğu görülmüştür.Anahtar sözcükler: Bel ağrısı; transforaminal epidural steroid; lumbar disk hernisi.

show abstract

“…They did not, however, look at the needle tip position in relation to contrast flow. Two further large series compared needle tip position with complication rates and immediate pain relieving effect but again did not study flow of injectate or accuracy [22,23].…”

Section: Introductionmentioning

confidence: 99%

The role of needle tip position on the accuracy of diagnostic selective nerve root blocks in spinal deformity

et al. 2014

View full text Add to dashboard Cite

show abstract

Influence of needle-tip position on the incidence of immediate complications in 2,217 selective lumbar nerve root blocks

Cited by 36 publications

References 9 publications

The diagnostic utility and cost-effectiveness of selective nerve root blocks in patients considered for lumbar decompression surgery: a systematic review and economic model

The diagnostic utility and cost-effectiveness of selective nerve root blocks in patients considered for lumbar decompression surgery: a systematic review and economic model

Efficacy of transforaminal lumbar epidural steroid injections in patients with lumbar radiculopathy

The role of needle tip position on the accuracy of diagnostic selective nerve root blocks in spinal deformity

Contact Info

Product

Resources

About