The Lumbar Neural Foramen and Transforaminal Epidural Steroid Injections: An Anatomic Review With Key Safety Considerations in Planning the Percutaneous Approach

AJR. American Journal of Roentgenology
Jacob C MandellCharles H Cho

Abstract

The purpose of this article is to review the anatomy of the lumbar neural foramen and to describe techniques of transforaminal epidural steroid injections with emphasis on safety. Rare cases of paraplegia have been reported. Although no consensus currently exists about which approach is the safest, knowledge of the foraminal anatomy is a key consideration when choosing a needle approach for transforaminal epidural steroid injections.

References

Mar 1, 1991·Radiology·J K KostelicL A Sether
Nov 17, 1998·Journal of Neurosurgery·C H AlleyneD L Barrow
Jan 29, 2000·The Journal of Thoracic and Cardiovascular Surgery·P BiglioliG Coggi
Jul 14, 2001·Radiographics : a Review Publication of the Radiological Society of North America, Inc·R SilbergleitS J Talati
Sep 17, 2003·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Kunihiro YoshiokaKouhei Kawazoe
Nov 1, 2003·The Spine Journal : Official Journal of the North American Spine Society·John K Houten, Thomas J Errico
Dec 12, 2003·The Annals of Thoracic Surgery·Kiyofumi MorishitaTomio Abe
Feb 24, 2004·Seminars in Roentgenology·Willard G HessionJames J Choi
Sep 17, 2004·Regional Anesthesia and Pain Medicine·Marc A Huntoon, David P Martin
May 6, 2005·Journal of Vascular and Interventional Radiology : JVIR·Diego A AguirreOrlando M Diaz
Jun 27, 2006·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Joon Woo LeeHeung Sik Kang
Feb 24, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G MelissanoR Chiesa
Aug 29, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G Melissano, R Chiesa
Oct 30, 2009·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·David J KennedyNikolai Bogduk
May 5, 2010·Neuroimaging Clinics of North America·John M Mathis
Sep 4, 2010·Annals of Indian Academy of Neurology·S Vivekanandan, S Dinesh Nayak
Sep 28, 2010·Annals of Physical and Rehabilitation Medicine·L ThefenneO Berets
Dec 8, 2010·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Naveen S MurthyCurt L Behrns
Jan 15, 2011·AJNR. American Journal of Neuroradiology·A ChangT Miller
Sep 6, 2011·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·Nasir A Quraishi
Apr 17, 2012·Annals of Rehabilitation Medicine·Ji Woong ParkYongbum Park
Aug 3, 2012·American Journal of Physical Medicine & Rehabilitation·Ki Deok ParkYongbum Park
Aug 14, 2012·Diagnostic and Interventional Imaging·X DemondionV Balbi
Nov 1, 2012·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·John MacVicarNikolai Bogduk
Dec 12, 2012·Interactive Cardiovascular and Thoracic Surgery·Andreas KeyserClaudius Diez
Feb 27, 2013·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Andrzej C KroszczynskiSherry A Downie
Feb 21, 2016·Pain Practice : the Official Journal of World Institute of Pain·Kevin H TrinhSteve M Aydin
Apr 25, 2016·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Nadin M Abdel RazeqSue Jordan
Jun 25, 2016·AJR. American Journal of Roentgenology·Peter J MacMahonWilliam E Palmer
Nov 22, 2016·Radiology·William E Palmer

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Citations

Jun 18, 2019·PM & R : the Journal of Injury, Function, and Rehabilitation·Lyndly Tamura, Lisa Huynh
Apr 7, 2020·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·S SpiliopoulosE Brountzos
Nov 13, 2020·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·S HaleemR Botchu
Mar 13, 2019·Joint, Bone, Spine : Revue Du Rhumatisme·Hervé BardJean-Denis Laredo
Jul 19, 2021·Pain Practice : the Official Journal of World Institute of Pain·Jui-Hsuan LiuChia-Shiang Lin
Dec 23, 2021·Seminars in Musculoskeletal Radiology·David C GimarcCorey K Ho

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