Safety and Risk Mitigation for Cervical Transforaminal Epidural Steroid Injections

Byron J. Schneider, Simone Maybin

Research output: Contribution to journalReview articlepeer-review

Abstract

Purpose of Review: The purpose of this study is to describe the most common complications of cervical transforaminal epidural steroid injection and to differentiate these from rare but serious risks unique to cervical transforaminal epidural steroid injections (CTFESI). Relevant safety mitigation techniques will also be discussed. Recent Findings: The largest available cohort of epidural steroid injections was recently published, without a single case of major neurologic damage captured. Summary: A large body of evidence suggests that the risk of neurologic infarct following CTFESI is due to the embolic effect of inadvertent arterial injection of particulate steroids. The advent of safety techniques to mitigate this risk, namely restricting use of steroids to the non-particulate steroid dexamethasone, seems to have greatly improved the safety profile of CTFESI.

Original languageEnglish (US)
Pages (from-to)186-192
Number of pages7
JournalCurrent Physical Medicine and Rehabilitation Reports
Volume5
Issue number4
DOIs
StatePublished - Dec 1 2017
Externally publishedYes

Keywords

  • Cervical transforaminal epidural steroid injection
  • CTFESI
  • Review
  • Safety mitigation techniques

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Orthopedics and Sports Medicine
  • Medicine (miscellaneous)

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