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Selective lumbosacral radiculography and block

T Tajima, K Furukawa, E Kuramochi

    Spine
    |January 1, 1980
    PubMed
    Summary
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    Selective lumbosacral radiculography and block is a simple and effective diagnostic technique for identifying nerve root lesions. This method accurately pinpoints lesions, especially in the lateral foraminal recess, and can offer symptom relief.

    Area of Science:

    • Neurology
    • Radiology
    • Pain Management

    Background:

    • Selective lumbosacral radiculography and block is a diagnostic procedure.
    • This study evaluates a specific technique using Conray or Dimer-X contrast and lidocaine with corticosteroid.
    • The aim is to assess its diagnostic value and therapeutic potential.

    Observation:

    • The procedure was performed on 106 patients.
    • The technique involves selective injection into the lumbosacral nerve root.
    • Radiographic findings were analyzed alongside clinical outcomes.

    Findings:

    • The method is technically simple and highly useful for determining the extent of lumbosacral nerve root lesions.
    • It demonstrated particular efficacy in diagnosing nerve root entrapment in the lateral foraminal recess.

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  • The procedure occasionally provided relief from radicular symptoms.

    • Implications:

    • This technique offers a valuable diagnostic tool for complex lumbosacral nerve root disorders.
    • It provides accurate localization when other auxiliary measures fail.
    • The dual diagnostic and therapeutic potential warrants further consideration in clinical practice.