The Complications of Transforaminal Lumbar Epidural Steroid Injections

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dc.contributor.authorKaraman, Haktan
dc.contributor.authorKavak, Gonul Olmez
dc.contributor.authorTufek, Adnan
dc.contributor.authorYildirim, Zeynep Baysal
dc.date.accessioned2024-04-24T17:08:16Z
dc.date.available2024-04-24T17:08:16Z
dc.date.issued2011
dc.departmentDicle Üniversitesien_US
dc.description.abstractStudy Design. A prospective observational study. Objective. In this study, we aimed to investigate the major and minor complications of transforaminal lumbar epidural steroid injections guided by fluoroscopy and the incidence of vascular penetration encountered during this procedure. Summary of Background Data. Epidural steroid administration is one of the treatment options for lumbar disc hernia accompanied by radiculopathy. This method, initially applied by blind interlaminar technique, has generally been performed by fluoroscopically guided transforaminal method now. The complications of this method cause to a serious concern. The complications of this intervention have been reported by either mostly retrospective studies or case reports until now. Prospective studies with large patient series are needed to determine the types and incidences of the complications. Methods. In this study carried out for more than 5 years, major and minor complications of transforaminal lumbar epidural steroid injections were investigated prospectively. All of the interventions were performed under fluoroscopic guidance by the same physician using a standardized method. A follow-up was made once in the third week. The complications encountered during the procedure and in the third week were prospectively recorded. In addition, the incidence of vascular penetration that is potentially hazardous is included in the study. Results. A total of 562 patients were performed 1305 times transforaminal lumbar epidural steroid. The overall incidence of vascular penetration encountered was 7.4%. Although major complications were not seen, the total rate of all minor complications was 11.5%. Whereas all of the minor complications were transient, the most frequent minor complication was vasovagal reaction (8.7%). Conclusion. On the basis of the results of this study in which only minor complications were encountered, it can be said that the frequency of major complications is pretty rare in transforaminal lumbar epidural steroid injections in expert hands and in the conditions in which safety precautions are taken.en_US
dc.identifier.doi10.1097/BRS.0b013e3181f32bae
dc.identifier.endpageE824en_US
dc.identifier.issn0362-2436
dc.identifier.issn1528-1159
dc.identifier.issue13en_US
dc.identifier.pmid21217425
dc.identifier.scopus2-s2.0-79957804942
dc.identifier.scopusqualityQ1
dc.identifier.startpageE819en_US
dc.identifier.urihttps://doi.org/10.1097/BRS.0b013e3181f32bae
dc.identifier.urihttps://hdl.handle.net/11468/17277
dc.identifier.volume36en_US
dc.identifier.wosWOS:000290750200014
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofSpine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTransforaminalen_US
dc.subjectLumbaren_US
dc.subjectEpiduralen_US
dc.subjectSteroiden_US
dc.subjectComplicationen_US
dc.titleThe Complications of Transforaminal Lumbar Epidural Steroid Injectionsen_US
dc.titleThe Complications of Transforaminal Lumbar Epidural Steroid Injections
dc.typeArticleen_US

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