Back to Search
Start Over
Needle Tip Position and Bevel Direction Have No Effect in the Fluoroscopic Epidural Spreading Pattern in Caudal Epidural Injections: A Randomized Trial
- Source :
- Pain Research and Management, Vol 2016 (2016), Pain Research & Management
- Publication Year :
- 2016
- Publisher :
- Hindawi Limited, 2016.
-
Abstract
- Background.Caudal epidural steroid injections (CESIs) are an effective treatment for pain. If the injection spreads in a specific pattern depending on the needle position or bevel direction, it would be possible to inject the agent into a specific and desired area.Objectives.We conducted a prospective randomized trial to determine if the needle position and bevel direction have any effect on the epidural spreading pattern in CESI.Methods.Demographic data of the patient were collected. During CESI, the needle position (middle or lateral) and direction (ventral or dorsal) were randomly allocated. Following fluoroscope-guided injection of 4 mL contrast media and 10 mL of injectates, the epidural spreading patterns (ventral or dorsal, bilateral or lateral) were imaged.Results.In the 210 CESIs performed, the needle tip position and bevel direction did not influence the epidural spreading patterns at L4-5 and L5-S1 disc levels. A history of Lumbar spine surgery was associated with a significantly limited spread to each disc level. A midline needle tip position was more effective than the lateral position in spreading to the distant disc levels.Conclusions.Neither the needle tip position nor the bevel direction affected the epidural drug spreading pattern during CESI.
- Subjects :
- Male
Dorsum
medicine.medical_specialty
Article Subject
Contrast Media
Injections, Epidural
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
030202 anesthesiology
law
Lumbar spine surgery
Humans
Medicine
Fluoroscopy
Prospective Studies
Tip position
Aged
lcsh:R5-920
medicine.diagnostic_test
business.industry
Anatomy
Middle Aged
Low back pain
Bevel
Surgery
Anesthesiology and Pain Medicine
Neurology
Needles
Clinical Study
Female
Steroids
Caudal epidural
medicine.symptom
lcsh:Medicine (General)
business
Low Back Pain
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 19181523 and 12036765
- Volume :
- 2016
- Database :
- OpenAIRE
- Journal :
- Pain Research and Management
- Accession number :
- edsair.doi.dedup.....bd2f76729f69dafe32244c8c0ac8758d