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OBLIQUE PARASAGITTAL INTERLAMINAR LUMBAR EPIDURAL STEROID INJECTION FOR MANAGEMENT OF LOW BACK PAIN WITH LUMBOSACRAL RADICULAR PAIN: A CASE SERIES
ESRA Academy. Byeon G. Sep 8, 2016; 138405; 0248 Topic: INTERVENTIONAL TECHNIQUES
Dr. Gyeong-Jo Byeon
Dr. Gyeong-Jo Byeon

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Abstract
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Background and Aims:

Epidural steroid injection is commonly used for management of low back pain with lumbosacral radicular pain. It can be administered through either transforaminal or, interlaminar routes. The transforaminal route is considered more efficacious than the interlaminar route probably because of ventral epidural spread. However, some postoperative states, there are difficult to approach transforaminal route due to rods, pedicular screws, and bone harvests for posterior lumbar interbody fusion.

Methods:

In these case series, we describe 2 cases. The first case was 63-year-old male patient underwent low back pain with right lower extremity radicular pain. The second case was 82-year-old female patient operated posterior lumbar interbody fusion also represented low back pain with left lower extremity radicular pain and associated paresthesia. We treated them using oblique para-sagittal interlaminar lumbar epidural steroid injection alternative to transforaminal epidural steroid injection.

Results:

The patients remained symptom-free at his successive visits at 2 and 4 weeks after the procedure.

Oblique para-sagittal interlaminar epidural steroid injectionConclusions:

The oblique para-sagittal interlaminar epidural steroid injection can be considered a suitable alternative to the transforaminal epidural steroid injection.

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