Korean J Pain.  2018 Oct;31(4):305-306. 10.3344/kjp.2018.31.4.305.

The use of sonographic guidance in caudal epidural steroid injections

Affiliations
  • 1Department of Surgery, Anesthesia and Intensive Care Section, G.B. Morgagni-Pierantoni Hospital, Forlì, Italy. drpiraccini@gmail.com
  • 2Department of Emergency, Anesthesia and Intensive Care Section, M. Bufalini Hospital, Cesena, Italy.
  • 3Medical Diagnostic Department Kingsbridge Private Hospital, Belfast, Northern Ireland.

Abstract

No abstract available.


MeSH Terms

Ultrasonography*

Figure

  • Fig. 1 (A) The picture shows the sacral cornua C as two hyperechoic reversed U-shaped structures. The hyperechoic bands in the center of the image are the sacrococcygeal ligament L and below the dorsal surface of the sacrum D. (B) The picture shows the long axis to the sacrum visualizing sacrum and sacral canal with the needle trajectory N.

  • Fig. 2 Anteroposterior fluoroscopic image of a caudal epidural steroid injection through the epidural catheter with contrast medium. The contrast medium spreads along the left L4, L5 and S1 nerve roots.


Reference

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2. Akkaya T, Ozkan D, Kertmen H, Sekerci Z. Caudal epidural steroid injections in postlaminectomy patients: comparison of ultrasonography and fluoroscopy. Turk Neurosurg. 2017; 27:420–425. PMID: 27593794.
3. Soneji N, Peng PW. Ultrasound-guided pain interventions -a review of techniques for peripheral nerves. Korean J Pain. 2013; 26:111–124. PMID: 23614071.
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4. Klocke R, Jenkinson T, Glew D. Sonographically guided caudal epidural steroid injections. J Ultrasound Med. 2003; 22:1229–1232. PMID: 14620894.
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5. Blanchais A, Le Goff B, Guillot P, Berthelot JM, Glemarec J, Maugars Y. Feasibility and safety of ultrasound-guided caudal epidural glucocorticoid injections. Joint Bone Spine. 2010; 77:440–444. PMID: 20869897.
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