Archive | Cervical Epidurals

Cervical Interlaminar Epidural Steroid Injection (post-contrast)

Which MRI Finding Predicts Benefit From Cervical Epidural Steroid Injections?

By Chris Faubel, MD –

Image courtesy Dr. Hazem Eissa

Am J Phys Med Rehabil. 2009 Mar;88(3):239-46
MRI prediction of therapeutic response to epidural steroid injection in patients with cervical radiculopathy.
Fish DE, Kobayashi HW, Chang TL, Pham Q.Department of Orthopaedics, Physical Medicine and Rehabilitation, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
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Summary of Study

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  • Purpose: to find out if particular MRI finding can predict therapeutic success from cervical interlaminar epidural steroid injections (C-ILESIs) in patients with cervical radiculopathy
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Cervical Transforaminal Epidural Injection with Vulnerable Vasculature

Dangers of Cervical Transforaminal Epidurals With Particulate Steroids

By Chris Faubel, MD –

Source: Mayo Foundation for Medical Education and Research

J Bone Joint Surg Am. 2008 Sep;90(9):1932-8.
Perils of intravascular methylprednisolone injection into the vertebral artery. An animal study.
Okubadejo GO
, Talcott MR, Schmidt RE, Sharma A, Patel AA, Mackey RB, Guarino AH, Moran CJ, Riew KD.
Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri, USA. gokubadejo@hotmail.com
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Summary of Study

  • Purpose: to investigate whether use of particulate steroids carried with it, a greater risk of neurologic damage from cervical transforaminal epidural steroid injections
  • Prospective, exploratory pilot study
  • Animal study – eleven (11) adult, male pigs weighing between 110 and 136 pounds (50-62 kg)
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