Influence of needle-tip position on the incidence of immediate complications in 2,217 selective lumbar nerve root blocks

The Spine Journal : Official Journal of the North American Spine Society
Seth T StalcupK Daniel Riew

Abstract

Selective lumbar nerve blocks (SLNBs) are a popular, minimally invasive treatment and diagnostic tool for lumbar radiculopathy. It is therefore relevant to determine the complication rate for SLNBs, as well as examine the association between needle-tip position and complication rates in order to improve safety. The purposes of the present study are to determine the overall rate of immediate, postprocedural complications in a large cohort of patients who received SLNBs and determine if certain needle-tip positions are less likely to cause complications. To our knowledge, this is the first paper to examine the relationship between needle-tip position and complications. A large retrospective cohort was assembled from patients who had undergone a SLNB. We determined the overall immediate complication rate for all injections. In addition, all patients who received only a single injection were compiled into another cohort, and needle-tip position was determined. The complication rate was determined for each needle-tip position. All adult patients who underwent a SLNB in a single radiology department from April 1, 1997 to May 31, 2002. Patients were observed for 15-30 minutes after their procedure, then interviewed about any self-repo...Continue Reading

References

Jun 1, 1992·Spine·R C FransonJ A Saal
Aug 15, 1995·Spine·J S Saal
Jan 1, 1997·Seminars in Musculoskeletal Radiology·Phoebe A. Kaplan, Robert G. Dussault
Jul 30, 2002·Anesthesia and Analgesia·Robert CluffMilan P Stojanovic

❮ Previous
Next ❯

Citations

Jan 25, 2014·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·A IrwinM J Gibson
May 5, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Mehul J DesaiPuneet K Sayal
Jul 25, 2009·PM & R : the Journal of Injury, Function, and Rehabilitation·Scott T RobertsJoshua D Rittenberg
Aug 19, 2008·Radiologic Clinics of North America·Manraj K S HeranGerald M Legiehn
Jan 1, 2008·The Spine Journal : Official Journal of the North American Spine Society·Michael J DePalma, Curtis W Slipman
Jun 13, 2015·The Spine Journal : Official Journal of the North American Spine Society·Christopher PlastarasDavid J Kennedy
May 6, 2016·Expert Opinion on Drug Safety·B SchneiderD J Kennedy
Nov 24, 2011·AJR. American Journal of Roentgenology·Alfred WangLouis A Gilula
Jan 11, 2011·Spine·Haktan KaramanZeynep Baysal Yldrm
Jan 1, 2008·Anesthesia and Analgesia·Miguel Angel ReinaJosé Antonio De Andrés
Aug 15, 2013·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Paul I MallinsonPaul Maliakal

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.