• Diagn Interv Imaging · Sep 2012

    Approaches in injections for radicular pain: the transforaminal, epidural and transfacet approaches.

    • P Brunner, N Amoretti, F Soares, E Brunner, E Cazaux, O Brocq, S Chanalet, M Liberatore, J-M Cucchi, M-Y Mourou, G Michelozzi, and C Robino.
    • Princesse Grace Hospital, Monaco Cedex, Principality of Monaco. pbrunner@chpg.mc
    • Diagn Interv Imaging. 2012 Sep 1; 93 (9): 711-22.

    AbstractSpinal injections must be carried out adhering to very strict conditions. However, these procedures have almost come to be seen as everyday and may be practised under quite questionable conditions. The recent reports of new and extremely serious neurological complications have changed the attitudes of those making referrals as well as the attitudes of the interventional radiologists carrying out these procedures. The range of indications for transforaminal injections has shrunk in favour of epidural injections. Where the transforaminal approach is still used, the needle must be positioned extremely accurately. A prior radioopaque contrast medium injection is essential from a safety perspective. The transforaminal epidural injection via the transfacet approach looks to be a promising alternative that is strictly avascular.Copyright © 2012 Éditions françaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.

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