What is the role of image-guided transforaminal epidural injections in the treatment of lumbosacral radiculopathy?

Updated: Jan 25, 2018
  • Author: Gerard A Malanga, MD; Chief Editor: Craig C Young, MD  more...
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Answer

Most clinicians agree that image-guided transforaminal epidural injections are preferred to an interlaminar or caudal approach. This technique routinely delivers medication to the anterior epidural space.

Although most clinicians utilize a supraneural technique for transforaminal injections, the Kambin triangle approach offers a reasonable alternative which may provide similar outcomes. [24] The Kambin triangle technique places the tip of the needle below the spinal nerve, as opposed to the traditional supraneural approach in which the needle is positioned above the nerve.


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