Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Epidurography in the management of sciatica.

H D Stewart1, R C Quinnell, N Dann

  • 1Department of Orthopaedic Surgery, Derbyshire Royal Infirmary, Derby, UK.

British Journal of Rheumatology
|December 1, 1987
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Clinical and immunological characteristics of 150 systemic lupus erythematosus patients in Jamaica: a comparative analysis.

Lupus·2017
Same author

The uncemented Bicontact total hip arthroplasty in octogenarians. Medium-term results.

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie·2016
Same author

Transvertebral pedicle fixation in severe grade spondylolisthesis. Report of three cases.

Journal of neurosurgery·2001
Same author

Relapsing eosinophilic myositis causing acute muscle compartment syndrome.

British journal of rheumatology·1993
Same author

Long-term results of the Manchester knee. Surface arthroplasty of the tibiofemoral joint.

Clinical orthopaedics and related research·1992
Same author

Curved Kuntscher nail arthrodesis after failure of knee replacement.

The Journal of bone and joint surgery. British volume·1989
Same journal

Sensorineural hearing loss, iritis and ankylosing spondylitis.

British journal of rheumatology·1999
Same journal

Outcome in systemic vasculitis.

British journal of rheumatology·1999
Same journal

Infection with an unenveloped DNA virus (TTV) associated with non-A to G hepatitis in patients with rheumatoid arthritis.

British journal of rheumatology·1999
Same journal

Aortitis in relapsing polychondritis.

British journal of rheumatology·1999
Same journal

Successful treatment with antithymocyte globulin and cyclosporin A of a severe aplastic anaemia associated with an eosinophilic fasciitis.

British journal of rheumatology·1999
Same journal

Haemophagocytic syndrome in a patient with dermatomyositis.

British journal of rheumatology·1999
See all related articles

Epidurography, an outpatient procedure, is a sensitive diagnostic tool for sciatica, identifying abnormalities and lateral canal stenosis. However, it lacks prognostic value for treatment outcomes.

Area of Science:

  • Radiology
  • Pain Management
  • Neurology

Background:

  • Sciatica treatment often involves epidural injections of steroid and local anesthetic.
  • The diagnostic and prognostic utility of concomitant epidurography in these patients requires clarification.

Purpose of the Study:

  • To investigate the diagnostic and prognostic potential of epidurography performed concurrently with epidural injections for sciatica.
  • To assess the safety and effectiveness of epidurography as an outpatient procedure.

Main Methods:

  • Fifty consecutive patients with sciatica receiving epidural injections underwent epidurography.
  • Data on needle placement accuracy, diagnostic findings, and prognostic implications were collected.

Main Results:

Related Experiment Videos

  • Epidurography is a safe outpatient procedure, with incorrect needle placement causing procedural failures.
  • The investigation is highly sensitive in detecting abnormalities (36/50 patients) and particularly useful for diagnosing lateral canal stenosis.
  • Epidurography demonstrated no prognostic value regarding treatment outcomes.
  • In 12 of 16 patients needing further invasive therapy, epidurography could have potentially replaced later radiculography.

Conclusions:

  • Epidurography is a valuable, sensitive diagnostic tool for sciatica, especially for lateral canal stenosis, but does not predict treatment success.
  • Combining epidurography with epidural injections may improve patient management, offering financial and convenience benefits.