Location of Radicular Spinal Arteries in the Lumbar Spine from Analysis of CT Angiograms of the Abdomen and Pelvis

Pain Medicine : the Official Journal of the American Academy of Pain Medicine
Jeremy I SimonDavid Smoger

Abstract

Reports of catastrophic neurologic injuries following lumbar transforaminal epidural steroid injections are rare but serious potential complications. The traditional method of performing lumbar transforaminal epidural steroid injections is in the "safe triangle" to avoid contact to the spinal nerve. Some authors advocate an alternative approach by placing the needle inferiorly in a region referred to as "Kambin's triangle" to avoid incurring arteries. This study aimed to determine the location of arteries within the L1-L4 intervertebral foramen in vivo, specifically if they lie within or in close proximity to the "safe triangle" or Kambin's triangle using CT angiograms of the abdomen and pelvis. The authors retrospectively evaluated the location in vivo of arterial vessels in the intervertebral foramen from L1 to L4 in patients who underwent abdominopelvic CT angiograms for aortic vascular disease. The data were reanalyzed to confirm inter-rater reliability. Arteries were found in both the safe triangle and Kambin's triangle at a statistically significant rate (P < 0.05). In this group of patients, an artery was found in either the safe triangle or in Kambin's triangle frequently, suggesting the location of these arteries can b...Continue Reading

References

Mar 1, 1976·Clinical Orthopaedics and Related Research·G F Dommisse, L Grobler
Nov 17, 1998·Journal of Neurosurgery·C H AlleyneD L Barrow
Jan 29, 2000·The Journal of Thoracic and Cardiovascular Surgery·P BiglioliG Coggi
Aug 16, 2000·Archives of Physical Medicine and Rehabilitation·K P BotwinW K Slaten
May 11, 2004·Mayo Clinic Proceedings·W Michael HootenMarc A Huntoon
Mar 15, 2006·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·W Michael HootenMarc A Huntoon
Dec 11, 2008·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Matthew SmuckMiles Colwell
May 27, 2009·Current Reviews in Musculoskeletal Medicine·Bradly S GoodmanMatt Bayazitoglu
Jul 30, 2009·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Way Yin, Nikolai Bogduk
Dec 8, 2010·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Naveen S MurthyCurt L Behrns
Jan 11, 2011·Spine·Haktan KaramanZeynep Baysal Yldrm
Mar 12, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Jacob M McGrathDaniel M Malkamaki
Apr 17, 2012·Annals of Rehabilitation Medicine·Ji Woong ParkYongbum Park
Feb 27, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Andrzej C KroszczynskiSherry A Downie
Mar 8, 2013·Pain Practice : the Official Journal of World Institute of Pain·Mehul J Desai, Shivani Dua
Jul 31, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Timothy J KaufmannTimothy P Maus
Aug 1, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Christine El-YahchouchiTimothy P Maus
Jan 7, 2014·Journal of Clinical and Diagnostic Research : JCDR·S Iqbal
Apr 29, 2015·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Jeremy I SimonMichael B Furman

❮ Previous
Next ❯

Citations


❮ 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.