Safety and Risk Mitigation for Cervical Transforaminal Epidural Steroid Injections

被引：0

作者：

Schneider B.J. ^{[1
]}

Maybin S. ^{[1
]}

机构：

[1] Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, 2201 Children’s Way Suite 1318, Nashville, 37212, TN

来源：

Current Physical Medicine and Rehabilitation Reports | 2017年 / 5卷 / 4期

关键词：

Cervical transforaminal epidural steroid injection; CTFESI; Review; Safety mitigation techniques;

D O I：

10.1007/s40141-017-0165-6

中图分类号：

学科分类号：

摘要：

Purpose of Review: The purpose of this study is to describe the most common complications of cervical transforaminal epidural steroid injection and to differentiate these from rare but serious risks unique to cervical transforaminal epidural steroid injections (CTFESI). Relevant safety mitigation techniques will also be discussed. Recent Findings: The largest available cohort of epidural steroid injections was recently published, without a single case of major neurologic damage captured. Summary: A large body of evidence suggests that the risk of neurologic infarct following CTFESI is due to the embolic effect of inadvertent arterial injection of particulate steroids. The advent of safety techniques to mitigate this risk, namely restricting use of steroids to the non-particulate steroid dexamethasone, seems to have greatly improved the safety profile of CTFESI. © 2017, Springer Science+Business Media, LLC.

引用

页码：186 / 192

页数：6