Is It Finally Time to Abandon the Use of Blind Interlaminar Epidural Steroid Injections?

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Dr. Michael L. Whitworth and Dr. Jose de Cordoba answer “yes” in pages 17-30 of the International Spine Intervention Society newsletter (Volume 6, Number 2). Read the abstract below.

ABSTRACT
The use of non-radiological guided epidural steroid injections is a common practice, however a critical appraisal of the technique demonstrates several problems. These include inability to accurately identify the target epidural space, inability to enter the epidural space due to anatomical impediments, errant intravascular and subdural injections, and inability to confirm needle placement or that the target is reached by steroid. The error rates for non-radiological guided injections is unacceptably high and given the widespread availability of fluoroscopy, these injections should be abandoned on the basis of inaccuracy and patient safety.

To read the full article, click here.


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