Article
Medicine, General & Internal
Park Manakul, Koopong Siribumrungwong, Naphakkhanith Dhanachanvisith
Summary: This study evaluated the short-term spinal sagittal alignment change after transforaminal epidural steroid injection (TFESI) in lumbar spinal stenosis patients. The results showed that TFESI significantly improves pain and sagittal alignment in these patients.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Orthopedics
Wen-Bo Wei, Sha-Jie Dang, Ling Wei, Tian Liu, Jue Wang
Summary: The combination of TFESI and RF significantly improves pain and function, with a long-term satisfactory effect for the treatment of LDH.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Clinical Neurology
Adam J. Michalik, Rajeev K. Patel
Summary: This study evaluated the therapeutic effect of TFESIs in patients with discogenic axial lumbosacral back pain and found significant improvements in pain and physical function outcomes post-treatment. Using PROMIS scores as outcome measures proved to be beneficial in assessing the clinical consequences in patients with degenerative spinal pathology.
Review
Anesthesiology
Standiford Helm, Preston C. Harmon, Carl Noe, Aaron K. Calodney, Alaa Abd-Elsayed, Nebojsa Nick Knezevic, Gabor B. Racz
Summary: Transforaminal epidural injections have been used since the late 1990s to treat lumbar radicular pain. This study evaluated the effectiveness and safety of transforaminal injections for various conditions, finding Level I evidence supporting their use for radicular pain due to disc herniation.
Article
Anesthesiology
Maoying Wang, Hua Ling, Bixin Zheng, Li Song
Summary: This retrospective study aimed to determine the efficacy and predictors of transforaminal epidural steroid injection (TFESI) in elderly patients with lumbar radiculopathy. The study found that duration of symptoms, immediate postoperative response, and neutrophilic granulocyte percentage were predictors of a favorable response to TFESI. The study concluded that a short duration of symptoms, good immediate postoperative response, and high neutrophilic granulocyte percentage were long-term predictors of a good response to TFESI in elderly patients with lumbar radiculopathy.
Article
Anesthesiology
Ekim Can Ozturk, Savas Sencan, Rekib Sacaklidir, Osman Albayrak, Osman Hakan Gunduz
Summary: This retrospective study investigated the relationship between serum 25-hydroxyvitamin D levels and treatment success following fluoroscopy-guided transforaminal epidural steroid injection in 948 patients. Lower treatment success rates were observed in the vitamin D deficient group, suggesting the importance of assessing serum vitamin D levels prior to this intervention. Prospective investigation is needed to further confirm these findings.
Article
Medicine, General & Internal
Sevket Evran, Ahmet Kayhan, Oguz Baran, Tahsin Saygi, Salim Katar, Enes Akkaya, Muhammet Arif Ozbek, Serdar Cevik
Summary: This study aimed to investigate the effects of combined TFESI and CESI treatment on pain control and quality of life in RLDH patients. The results showed that the TFESI + CESI group demonstrated better outcomes in VAS and ODI scores compared to the only TFESI group, with statistically significant differences.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2021)
Article
Neurosciences
Savas Sencan, Alp Eren Celenlioglu, Gonca Yazici, Osman Hakan Gunduz
Summary: TFESI is an effective and safe method to decrease not only nociceptive but also NP component in patients with chronic radiculopathy due to LDH, leading to significant improvement in patients' pain levels and quality of life.
Review
Orthopedics
Z. M. Borton, B. J. Oakley, J. A. Clamp, N. C. Birch, A. H. Bateman
Summary: This systematic review evaluated the clinical efficacy and complication rates of transforaminal epidural steroid injections (CTFESI) for the treatment of cervical radiculopathy. The study found increasing evidence supporting the efficacy of CTFESI with no major complications reported. However, the limited availability of high-quality studies and the heterogeneity of the available research suggest the need for further investigation.
BONE & JOINT JOURNAL
(2022)
Article
Neurosciences
Liuqing Yang, Yuzhao Huang, Jiahui Ma, Zhenxing Li, Rui Han, Gangwen Guo, Yuncheng Ni, Rong Hu, Xuebin Yan, Haocheng Zhou, Dong Huang
Summary: The study retrospectively reviewed the effectiveness of pulsed-radiofrequency (PRF) combined with transforaminal epidural steroid injection (TESI) for treating lumbosacral radicular pain (LSRP) caused by different etiologies, showing positive outcomes in pain reduction among patients with distinct causes of LSRP.
FRONTIERS IN NEUROSCIENCE
(2021)
Editorial Material
Medicine, General & Internal
Dae Kyun Kim, Seok Won Kim
Summary: Although PDN has been widely used for treating discogenic back pain, iatrogenic vascular injuries are rare but serious complications. We report a case of successful emergent transarterial embolization for a lumbar artery injury that occurred during PDN, which, to our knowledge, is the first report of its kind.
Article
Clinical Neurology
Koichi Yoshikane, Katsuhiko Kikuchi, Ken Okazaki
Summary: Posterolateral transforaminal full-endoscopic lumbar discectomy (FELD) is an effective and safe surgical option for lateral lumbar disc herniation, with successful clinical outcomes, short operative time, and minimal complications. Clinical evaluations showed significant improvements in symptoms postoperatively, with high patient satisfaction rates.
WORLD NEUROSURGERY
(2021)
Article
Health Care Sciences & Services
Feifei Chen, Guihe Yang, Jinjin Wang, Zhongpeng Ge, Heran Wang, Yifei Guo, Heng Yang, Xingzhi Jing, Xiaoyang Liu, Xingang Cui
Summary: This study defined the characteristics of Mini LDH, developed new diagnostic references, and examined the clinical efficacy of TF-PELD for it. The results showed that Mini LDH has specific clinical and imaging characteristics. All patients achieved pain relief after TF-PELD surgery, and TF-PELD was found to be an effective treatment for Mini LDH.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Anesthesiology
Christin A. Tiegs-Heiden, Ajay A. Madhavan, Felix E. Diehn, Vance T. Lehman, Naveen S. Murthy
Summary: This retrospective study demonstrates the presence of contrast flow in the retrodural space of Okada during transforaminal epidural steroid injections. The uptake of contrast in this space is relatively uncommon and likely underrecognized. It is crucial for providers to be familiar with this flow pattern and adjust needle positioning to ensure steroid delivery to the epidural space.
Article
Clinical Neurology
Bulent Guclu, Levent Deniz, Salim Katar, Ahmet Ozdemir
Summary: This study evaluated the optimal timing and effectiveness of fluoroscopically guided TFESI for the management of radicular pain due to extruded LDH. The results showed that TFESI can alleviate radicular pain and decrease neurological deficit, and it is more effective when performed at the earliest possible time point.
TURKISH NEUROSURGERY
(2023)