Anesth Pain Med.  2017 Oct;12(4):375-380. 10.17085/apm.2017.12.4.375.

Oblique interlaminar lumbar epidural steroid injection for management of low back pain with lumbosacral radicular pain: A case report

• Byeon GJ
• Choi EJ
• Choi YM
• Chang EJ
• Kim HJ
• Kim KH

• KMID: 2405858
• DOI: http://doi.org/10.17085/apm.2017.12.4.375

Abstract

Epidural steroid injection (ESI), which is commonly used for treatment of low back pain with lumbosacral radicular pain, can be performed via transforaminal, interlaminar, or caudal routes. The transforaminal route is generally regarded as more effective than the interlaminar route due to its high level of drug delivery to the ventral epidural space. However, in some postoperative patients, use of the transforaminal route may be difficult. Thus, there is an urgent need for technology that can offer more effective drug delivery to the ventral epidural space with fewer complications. In this context, we describe a case about our new method where patient has undergone oblique interlaminar lumbar epidural steroid injection (OIL-ESI) instead of transforaminal ESI. We treated a patient with OIL-ESI instead of transforaminal ESI. Patient was symptomatic improved at postoperative visits. Based on our findings, OIL-ESI may be a suitable alternative to transforaminal ESI.

Keyword

Epidural injection; Fluoroscopy; Low back pain; Pain management; Steroid

MeSH Terms

Epidural Space
Fluoroscopy
Humans
Injections, Epidural
Low Back Pain*
Methods
Pain Management