THE ACCURACY AND SAFETY OF ULTRASOUND – GUIDED LUMBAR TRANSFORAMINAL EPIDURAL INJECTION
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Abstract
Objective: To investigate the accuracy and safety rate (technical precision) of ultrasound-guided lumbar transforaminal epidural steroid injection, which was validated by conventional fluoroscopic technique. Methods: A total of 15 patients with unilateral single-level lumbar foraminal disc protrusion causing radiculopathy were enrolled. Using transforming route, the needle location was determined by an axial (transvers) view of the ultrasound with fluoroscopic confirmation. Results: The accuracy of ultrasound-guided interventions was 86,7% as confirmed by fluoroscopy. There were 02 failed cases in the US-guided: 01 case were wrong level and 01 case was right level but in extraforaminal. No complications were noted. Conclusion: Ultrasound-guided lumbar transforaminal epidural injections are accurate and feasible in clinical setting with an accuracy of 86,7% and no complications.
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Keywords
Epidural injection, low back pain, radiculopathy, disc herniation, ultrasound
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