2012
DOI: 10.1097/brs.0b013e3182340096
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Ultrasound-Guided Lumbar Transforaminal Injections

Abstract: Ultrasound-guided lumbar transforaminal injections are accurate and feasible in the preclinical setting.

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Cited by 50 publications
(57 citation statements)
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“…Therefore, US-guided lumbar TFEI were deemed controversial among interventional pain physicians. 10 Previous literature has verified the feasibility of the USguided lumbar transforaminal injections. 5,10 However, the posterior foraminal approach described by Galiano et al 5 might result in needle advancement into the nerve root, and likely the risk of the injectate spreading onto the exiting nerve root when the needle is placed dorsally and laterally.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Therefore, US-guided lumbar TFEI were deemed controversial among interventional pain physicians. 10 Previous literature has verified the feasibility of the USguided lumbar transforaminal injections. 5,10 However, the posterior foraminal approach described by Galiano et al 5 might result in needle advancement into the nerve root, and likely the risk of the injectate spreading onto the exiting nerve root when the needle is placed dorsally and laterally.…”
Section: Discussionmentioning
confidence: 99%
“…[4][5][6][7][8][9] Yet, reports on US-guided lumbar TFEI have been lacking in clinical practice; although, US-guided lumbar TFEI has been studied in cadavers. 10 This prospective randomized clinical trial evaluated the feasibility, safety, and the effect on pain relief of lumbar TFEI under US guidance.…”
mentioning
confidence: 99%
“…Initial feasibility studies reported success rates nearing 60% [35] but later studies have demonstrated successful injection in approximately 90% of patients [35]. Gofeld and colleagues [36] published a feasibility study designed to evaluate and validate US-guided transforaminal ESIs in the lumbar spine. Using cadavers, the authors targeted the most medial border of the vertebral body for injection of contrast followed by fluoroscopy to determine contrast spread.…”
Section: Lumbar Epidural Steroid Injectionsmentioning
confidence: 99%
“…Using cadavers, the authors targeted the most medial border of the vertebral body for injection of contrast followed by fluoroscopy to determine contrast spread. They reported intraformainal contrast spread in >90% of cases, the remainder being extraforaminal (nerve root) [36]. Loizides et al's technique was to identify the transverse process at the level of interest and find the intertransverse ligament as the spinal nerve is thought to be anterior to this structure [37].…”
Section: Lumbar Epidural Steroid Injectionsmentioning
confidence: 99%
“…Transforaminal injection is a commonly used technique in management of spinal radicular pain. Ultrasound-guided transforaminal injection can be accurate and feasible in the preclinical setting, and it carries an advantage over traditional fluoroscopy or CT scan technique by avoiding radiation exposure and the ability to be performed as an outpatient procedure [18].…”
Section: Neuraxial and Chronic Pain Proceduresmentioning
confidence: 99%