Safety and Complications of Cervical Epidural Steroid Injections

Byron J. Schneider; Simone Maybin; Eric Sturos

doi:10.1016/j.pmr.2017.08.012

Safety and Complications of Cervical Epidural Steroid Injections

Byron J. Schneider, Simone Maybin, Eric Sturos

Research output: Contribution to journal › Review article › peer-review

15 Scopus citations

Abstract

Serious neurologic complications following cervical transforaminal epidural steroid injections (CTFESI) and cervical interlaminar epidural steroid injections (CILESI) have been reported. For CILESI, this is caused by aberrant needle placement or space-occupying lesions, such as hematoma or abscess. For CTFESI, this is caused by embolic infarct when inadvertent intra-arterial injection of particulate steroids has occurred. Multiple safety techniques are used to mitigate the risk of these serious complications. The most common adverse events that occur following CTFESI or CILESI are procedural-related pain, steroid side effects, and vasovagal reactions, which are relatively minor and self-limited.

Original language	English (US)
Pages (from-to)	155-169
Number of pages	15
Journal	Physical Medicine and Rehabilitation Clinics of North America
Volume	29
Issue number	1
DOIs	https://doi.org/10.1016/j.pmr.2017.08.012
State	Published - Feb 2018
Externally published	Yes

Keywords

Cervical radiculopathy
Complications
Corticosteroids
Epidural injection
Interlaminar
Safety
Transforaminal

ASJC Scopus subject areas

Physical Therapy, Sports Therapy and Rehabilitation
Rehabilitation

Access to Document

10.1016/j.pmr.2017.08.012

Cite this

@article{58e308d723db4e458b6b52867cb45806,

title = "Safety and Complications of Cervical Epidural Steroid Injections",

abstract = "Serious neurologic complications following cervical transforaminal epidural steroid injections (CTFESI) and cervical interlaminar epidural steroid injections (CILESI) have been reported. For CILESI, this is caused by aberrant needle placement or space-occupying lesions, such as hematoma or abscess. For CTFESI, this is caused by embolic infarct when inadvertent intra-arterial injection of particulate steroids has occurred. Multiple safety techniques are used to mitigate the risk of these serious complications. The most common adverse events that occur following CTFESI or CILESI are procedural-related pain, steroid side effects, and vasovagal reactions, which are relatively minor and self-limited.",

keywords = "Cervical radiculopathy, Complications, Corticosteroids, Epidural injection, Interlaminar, Safety, Transforaminal",

author = "Schneider, {Byron J.} and Simone Maybin and Eric Sturos",

note = "Publisher Copyright: {\textcopyright} 2017 Elsevier Inc.",

year = "2018",

month = feb,

doi = "10.1016/j.pmr.2017.08.012",

language = "English (US)",

volume = "29",

pages = "155--169",

journal = "Physical Medicine and Rehabilitation Clinics of North America",

issn = "1047-9651",

publisher = "W.B. Saunders Ltd",

number = "1",

}

TY - JOUR

T1 - Safety and Complications of Cervical Epidural Steroid Injections

AU - Schneider, Byron J.

AU - Maybin, Simone

AU - Sturos, Eric

PY - 2018/2

Y1 - 2018/2

N2 - Serious neurologic complications following cervical transforaminal epidural steroid injections (CTFESI) and cervical interlaminar epidural steroid injections (CILESI) have been reported. For CILESI, this is caused by aberrant needle placement or space-occupying lesions, such as hematoma or abscess. For CTFESI, this is caused by embolic infarct when inadvertent intra-arterial injection of particulate steroids has occurred. Multiple safety techniques are used to mitigate the risk of these serious complications. The most common adverse events that occur following CTFESI or CILESI are procedural-related pain, steroid side effects, and vasovagal reactions, which are relatively minor and self-limited.

AB - Serious neurologic complications following cervical transforaminal epidural steroid injections (CTFESI) and cervical interlaminar epidural steroid injections (CILESI) have been reported. For CILESI, this is caused by aberrant needle placement or space-occupying lesions, such as hematoma or abscess. For CTFESI, this is caused by embolic infarct when inadvertent intra-arterial injection of particulate steroids has occurred. Multiple safety techniques are used to mitigate the risk of these serious complications. The most common adverse events that occur following CTFESI or CILESI are procedural-related pain, steroid side effects, and vasovagal reactions, which are relatively minor and self-limited.

KW - Cervical radiculopathy

KW - Complications

KW - Corticosteroids

KW - Epidural injection

KW - Interlaminar

KW - Safety

KW - Transforaminal

UR - http://www.scopus.com/inward/record.url?scp=85030648496&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85030648496&partnerID=8YFLogxK

U2 - 10.1016/j.pmr.2017.08.012

DO - 10.1016/j.pmr.2017.08.012

M3 - Review article

C2 - 29173660

AN - SCOPUS:85030648496

SN - 1047-9651

VL - 29

SP - 155

EP - 169

JO - Physical Medicine and Rehabilitation Clinics of North America

JF - Physical Medicine and Rehabilitation Clinics of North America

IS - 1

ER -

Safety and Complications of Cervical Epidural Steroid Injections

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this