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Laminotomy for Lumbar Dorsal Root Ganglion Access and Injection in Swine
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Lumbar Epidural Steroid Injections.

Enrique Pena1, Lee Moroz1, Devender Singh1

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Lumbar epidural steroid injections offer short-term pain relief for radiculopathy caused by disc herniation. This fluoroscopically guided procedure is accurate and generally safe, with favorable outcomes for leg pain.

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Area of Science:

  • Pain Management
  • Neurosurgery
  • Radiology

Background:

  • Lumbar radiculopathy, often linked to disc herniation, causes low-back and leg pain.
  • While often self-resolving, severe symptoms may require intervention.
  • Lumbar epidural steroid injections are a viable option for managing acute pain.

Purpose of the Study:

  • To describe the procedure and outcomes of lumbar epidural steroid injections.
  • To highlight the importance of radiographic guidance in accuracy and safety.

Main Methods:

  • Patient selection via clinical evaluation and imaging (CT/MRI).
  • Procedure involves anesthesia, needle insertion under fluoroscopic guidance, contrast injection, and steroid/anesthetic administration.
  • Techniques include interlaminar and transforaminal approaches.

Main Results:

  • Fluoroscopic guidance ensures accurate needle placement, minimizing risks.
  • The procedure is generally well-tolerated with favorable outcomes for radicular pain.
  • Common complications include local pain, infection, and dural puncture.

Conclusions:

  • Lumbar epidural steroid injections are effective for short-to-medium term pain management in radiculopathy.
  • Fluoroscopic guidance is crucial for safe and accurate delivery of medication.
  • The procedure offers a good prognosis for radicular symptoms, with potential improvement in back pain.