Lumbosacral Radicular Pain
Conditions
Brief summary
Lumbosacral transforaminal epidural steroid injection (TFESI) is helpful for the treatment of lumbosacral radicular pain, but in case of intravascular injection, infrequently serious complication can be developed. Against this backdrop, if there is any difference of frequency of intravascular injection incidence during S1 (sacrum 1) TFESI between method using medial approach and method using lateral approach in anteroposterior view, the result can be crucial factor in selecting the approach. In addition, appropriate volume of injection will be checked in each approach.
Interventions
medial approach group (n=85): check intravascular injection while performing S1 transforaminal epidural steroid(dexamethasone) injection in medial side of S1 foramen under fluoroscopy lateral approach group (n=85): same as medial approach group except using lateral side of S1 foramen
Sponsors
Yonsei University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
20 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
1\. Adult patients (20-80 years of age) who were scheduled to receive S1 transforaminal epidural steroid injection for lumbosacral radicular pain at pain management clinic
Exclusion criteria
1. pregnancy 2. coagulopathy 3. systemic infection 4. any active infection at the injection site 5. history of allergy to contrast media, local anesthetics, corticosteroid 6. patients unable to communicate or patients with cognitive dysfunction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the incidence of intravascular injection in the lateral approach group in S1 foramen | 5 seconds after injection of contrast media via block needle. |
| the incidence of intravascular injection in the medial approach group in S1 foramen | 5 seconds after injection of contrast media via block needle. |
Countries
South Korea
Outcome results
None listed