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Related Experiment Videos

[Sacral block: indications and effectiveness]

D Grob1, J Dvorak

  • 1Abteilung für Neurologie, Schulthess Klinik, Zürich.

Praxis
|April 18, 1998
PubMed
Summary
This summary is machine-generated.

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Therapeutic peridural injections using local anesthetics and corticosteroids can reach the thoraco-lumbar junction. This treatment is effective for radicular pain from disc herniation or stenosis, with rare complications when performed correctly.

Area of Science:

  • Anesthesiology
  • Pain Management
  • Spinal Procedures

Context:

  • Peridural injections are a common treatment for spinal conditions.
  • The hiatus sacralis is a potential access route for epidural medication delivery.
  • Understanding the spread of injectate is crucial for effective treatment.

Purpose:

  • To describe the distribution of local anesthetics and corticosteroids injected via the hiatus sacralis.
  • To outline the indications and contraindications for therapeutic peridural injections.
  • To assess the safety and complication rates of this procedure.

Summary:

  • Injection of 17-20 ml local anesthetics with corticosteroids via the hiatus sacralis distributes solution up to the thoraco-lumbar junction.
  • Indications include radicular symptoms from disc herniation, foraminal stenosis, and neurogenic claudication.

Related Experiment Videos

  • Contraindications involve anticoagulation, local infection, and suspected systemic inflammatory nervous system disease.

    • Impact:

    • Provides anatomical spread data for hiatus sacralis injections.
    • Clarifies patient selection criteria for peridural steroid therapy.
    • Highlights the safety profile of the procedure with proper technique.