Influence of Prior Lumbosacral Surgery on The Incidence of Intravascular Injection During Transforaminal Epidural Injections

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dc.contributor.authorSuslu, Husnu
dc.contributor.authorSuslu, Hikmet Turan
dc.contributor.authorTatarli, Necati
dc.contributor.authorCeylan, Davut
dc.contributor.authorGuclu, Bulent
dc.contributor.authorKarabagli, Hakan
dc.date.accessioned2024-07-12T21:51:02Z
dc.date.available2024-07-12T21:51:02Z
dc.date.issued2015en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractObjective: Percutaneous lumbar transforaminal epidural steroid injections are frequently used to treat low back pain. However, many reports have indicated that this procedure has a high risk of morbidity. The aim of this study was to determine the difference in the incidence of vascular penetration during lumbosacral transforaminal epidural injections between patients with previous lumbar spinal surgery and patients who did not undergo surgery. Design: This is a prospective clinical study. Methods: In this study, patients who received lumbar transforaminal epidural injections at an outpatient spine center were included and followed. An interventional spine physician observed fluoroscopically guided lumbosacral transforaminal epidural steroid injections under live fluoroscopy and recorded contrast patterns. A total of 296 fluoroscopically guided lumbosacral transforaminal epidural steroid injections under live fluoroscopy in 108 patients were evaluated. Results: The incidence of vascular contrast patterns was observed under live fluoroscopy. Vascular injections were observed in 28 of the 296 injections, for an overall incidence of 9.5%. The incidence of intravascular injections among patients was 40.0% (20/50) in the previously operated group and 13.8% (8/58) in the non-operated group. This difference was statistically significant (p<0.001). A secondary analysis was performed to determine if the other factors affected the success of the procedure or increased the incidence of vascular injections. Conclusion: Our results indicated that previous surgery affected intravascular dissemination and increased the risk of vascular injection. Cohesional area caused by previous surgery complicated the injection. Additionally, fluoroscopy count and operation time were also affected by previous surgery.en_US
dc.identifier.endpage169en_US
dc.identifier.issn1302-1664
dc.identifier.issue1en_US
dc.identifier.startpage161en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12415/8234
dc.identifier.volume32en_US
dc.identifier.wosWOS:000351690100018en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Science
dc.language.isoenen_US
dc.publisherJOURNAL NEUROLOGICAL SCIENCESen_US
dc.relation.ispartofJOURNAL OF NEUROLOGICAL SCIENCES-TURKISHen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY01986
dc.subjectTransforaminal injectionen_US
dc.subjectback painen_US
dc.subjectfluoroscopyen_US
dc.subjectepidural steroid injectionen_US
dc.titleInfluence of Prior Lumbosacral Surgery on The Incidence of Intravascular Injection During Transforaminal Epidural Injectionsen_US
dc.typeArticle
dspace.entity.typePublication

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