A New Technical Approach for Fluoroscopy-Guided Transforaminal Epidural Steroid Injection at Fusion Level in Patients with Transforaminal Lumbar Interbody Fusion (TLIF) Surgery

BACKGROUND CONTEXT: Transforaminal epidural steroid injection (TESI) is one of the treatment methods for postdiscectomy neuritis and epidural fibrosis. Our experience in patients who underwent transforaminal lumbar interbody fusion (TLIF) surgery, conventional posterolateral approach, lead to either extraforaminal or lateral placement of the needle in respect to the foramina because the metallic rod blocked the needle trajectory for routine posterolateral approach. Thus, in most of the cases, a far lateral posterolateral approach with longer needle was needed; however, potential difficulties in directing and controlling the needle from a longer distance must be considered.

from Sports Medicine via xlomafota13 on Inoreader http://ift.tt/2dYVkam
via IFTTT