Needle Tip Position and Bevel Direction Have No Effect in the Fluoroscopic Epidural Spreading Pattern in Caudal Epidural Injections: A Randomized Trial
Joint Authors
Kwon, Won Kyoung
Kim, Ah Na
Lee, Pil Moo
Park, Cheol Hwan
Kim, Jae Hun
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-04-24
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Caudal epidural steroid injections (CESIs) are an effective treatment for pain.
If the injection spreads in a specific pattern depending on the needle position or bevel direction, it would be possible to inject the agent into a specific and desired area.
Objectives.
We conducted a prospective randomized trial to determine if the needle position and bevel direction have any effect on the epidural spreading pattern in CESI.
Methods.
Demographic data of the patient were collected.
During CESI, the needle position (middle or lateral) and direction (ventral or dorsal) were randomly allocated.
Following fluoroscope-guided injection of 4 mL contrast media and 10 mL of injectates, the epidural spreading patterns (ventral or dorsal, bilateral or lateral) were imaged.
Results.
In the 210 CESIs performed, the needle tip position and bevel direction did not influence the epidural spreading patterns at L4-5 and L5-S1 disc levels.
A history of Lumbar spine surgery was associated with a significantly limited spread to each disc level.
A midline needle tip position was more effective than the lateral position in spreading to the distant disc levels.
Conclusions.
Neither the needle tip position nor the bevel direction affected the epidural drug spreading pattern during CESI.
American Psychological Association (APA)
Kwon, Won Kyoung& Kim, Ah Na& Lee, Pil Moo& Park, Cheol Hwan& Kim, Jae Hun. 2016. Needle Tip Position and Bevel Direction Have No Effect in the Fluoroscopic Epidural Spreading Pattern in Caudal Epidural Injections: A Randomized Trial. Pain Research and Management،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1115429
Modern Language Association (MLA)
Kwon, Won Kyoung…[et al.]. Needle Tip Position and Bevel Direction Have No Effect in the Fluoroscopic Epidural Spreading Pattern in Caudal Epidural Injections: A Randomized Trial. Pain Research and Management No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1115429
American Medical Association (AMA)
Kwon, Won Kyoung& Kim, Ah Na& Lee, Pil Moo& Park, Cheol Hwan& Kim, Jae Hun. Needle Tip Position and Bevel Direction Have No Effect in the Fluoroscopic Epidural Spreading Pattern in Caudal Epidural Injections: A Randomized Trial. Pain Research and Management. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1115429
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1115429