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Lumbar Epidural Injections: Fluoroscopy 

Lumbar Epidural Injections: Fluoroscopy
Chapter:
Lumbar Epidural Injections: Fluoroscopy
Author(s):

Dmitri Souzdalnitski

, Pavan Tankha

, and Imanuel R. Lerman

DOI:
10.1093/med/9780199908004.003.0021
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date: 23 October 2019

Lumbar epidural injection is most often performed for patients experiencing low back pain with radicular symptoms. The radicular symptoms can be precipitated by disc herniation or foraminal stenosis. In addition, spinal stenosis with associated neurogenic claudication is another common indication for this injection. These procedures may be effective in treatment of other syndromes that are associated with radiculopathic low back pain, including intervertebral disc degeneration without disc herniation, central spinal stenosis, spondylothesis, and failed lumbar back surgery syndrome. Lumbar epidural steroid injection (LESI) is the most commonly performed intervention. Fluoroscopically guided lumbar epidural injections led to a lower rate of complications than that reported for all lumbar epidural injections.

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