CT-guided transforaminal cervical and lumbar epidural injections - 08/09/12
Abstract |
Transforaminal injections are widely used. Serious complications including strokes and paraplegia have been reported after transforaminal injections of corticosteroids, and the Afssaps (2011) has issued a warning about their use [1 ]. The needle must be positioned in the posterior aspect of foramen, and its correct placement validated by an injection of contrast product. It is preferable to choose cortivazol (Altim®) as the corticoid for injection. This procedure is simple, reproducible, and durably effective in 60 to 70% of cases. Complications and adverse effects are rare but potentially serious: allergies, blood pressure surge, vasovagal syncope, transient exacerbation of pain, infection, stroke, and paraplegia. The aim of this course is to stress the need for rigor — in the indication, the technical performance of the procedure, and the overall management of the patient.
Le texte complet de cet article est disponible en PDF.Keywords : Spine, Cervical, Lumbosacral roots, Interventional radiology, Complications
Plan
Vol 93 - N° 9
P. 704-710 - septembre 2012 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.