Epidural Steroid Injections

被引:31
作者
Wilkinson, Indy M. [2 ]
Cohen, Steven P. [1 ,2 ]
机构
[1] Johns Hopkins Sch Med, Pain Management Div, Dept Anesthesiol, Baltimore, MD 21029 USA
[2] Walter Reed Army Med Ctr, Dept Surg, Washington, DC 20307 USA
关键词
Epidural steroid injection; Transforaminal epidural steroid injection; Interlaminar epidural steroid injection; Neuropathic spinal pain; Radiculopathy; Sciatica; Low back pain; Disability; Cost-effectiveness; Anesthesia; Pain management; CHRONIC LOW-BACK; LUMBAR RADICULAR PAIN; CERVICAL TRANSFORAMINAL INJECTION; DISK-RELATED SCIATICA; NERVE-ROOT; NEUROPATHIC PAIN; CORTICOSTEROID INJECTION; COST-EFFECTIVENESS; EFFICACY; INTERLAMINAR;
D O I
10.1007/s11916-011-0236-9
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Epidural steroid injection (ESI) is the most commonly performed intervention in pain clinics across the United States. This article provides an evidence-based review of ESI, including data on efficacy, patient selection, comparison of types, and complications. The data strongly suggest that ESI can provide short-term relief for radicular symptoms but are less compelling for long-term effects or relief of back pain. Although it has been asserted that transforaminal ESIs are more efficacious than interlaminar injections, the evidence supporting this is limited.
引用
收藏
页码:50 / 59
页数:10
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