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Skeletal Radiology
Published in: Skeletal Radiology 2/2015

01-02-2015 | Perspective

Particulate versus non-particulate steroids for lumbar transforaminal or interlaminar epidural steroid injections: an update

Authors: Tobias J. Dietrich, Reto Sutter, Johannes M. Froehlich, Christian W. A. Pfirrmann

Published in: Skeletal Radiology | Issue 2/2015

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Excerpt

Lumbar transforaminal and interlaminar epidural steroid injections are widely used to treat patients with radicular pain and radiculopathy [1]. These lumbar spine procedures are reported to be clinically effective for short-term and long-term pain relief by some studies [2‐5]. However, a relative lack of randomized and controlled clinical trials and as well as variability of the employed study methods were noted [6]. Thus, some controversy concerning the effectiveness of lumbar transforaminal and interlaminar epidural steroid injections still remains [6, 7]. Moreover, it should be emphasized that these indications and use are often performed on an off-label basis. The question arises whether just formal approval is lacking or whether extensive medical literature provides sufficient evidence-based efficacy and safety data for this off-label use. …
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Metadata
Title
Particulate versus non-particulate steroids for lumbar transforaminal or interlaminar epidural steroid injections: an update
Authors
Tobias J. Dietrich
Reto Sutter
Johannes M. Froehlich
Christian W. A. Pfirrmann
Publication date
01-02-2015
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology / Issue 2/2015
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-014-2048-6

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