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Ultrasound-Guided Versus Conventional Fluoroscopy-Guided Epidural Injection for Radiculopathy. A Meta-Analysis of
Mansoor Ahmed1, Afnan Ahmad1, Mateen Arshad1
1Department of Surgery, Holy Family Hospital, Rawalpindi Medical University, Rawalpindi, Pakistan.
World Neurosurgery
|September 29, 2023
Summary
Ultrasonography (USG)-guided epidural steroid injections (ESIs) offer comparable pain relief and functional improvement for radiculopathy compared to fluoroscopy (FL)-guided ESIs. USG guidance also demonstrates a reduced risk of vascular puncture and shorter procedure times.
Area of Science:
- Neurosurgery
- Pain Management
- Medical Imaging
Background:
- Radiculopathy, a common neurosurgical condition caused by spinal nerve root irritation, is often treated with medication or surgery.
- Epidural steroid injections (ESIs) offer an alternative management strategy for radiculopathy.
Conclusions:
- USG-guided ESIs are a viable alternative to FL-guided ESIs for radiculopathy management.
- USG guidance offers improved safety due to a lower risk of vascular puncture and increased efficiency through shorter procedure times.

