Epidural Contrast Flow Patterns of TESI Using the Inferior-Anterior Position as the Final Needle Tip Position.
Epidural Contrast Flow Patterns of Transforaminal Epidural Steroid Injections Using the Inferior-Anterior Position as the Final Needle Tip Position.
The purpose of this study is to describe the contrast flow patterns in the epidural space using the inferior-anterior approach with continuous fluoroscopic guidance, and determine how well this approach correlates with appropriate contrast flow patterns and with analgesia at follow up. This knowledge may prove useful in guiding physician practice patterns in the non-surgical management of low back pain.
Hypothesis: The investigators hypothesize that there will be suitable (ventral/anterior) epidural contrast spread based on inferior-anterior needle-tip position, particularly with appropriate needle tip position.
研究概览
地位
研究类型
注册 (实际的)
联系人和位置
学习地点
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District of Columbia
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Washington、District of Columbia、美国、20037
- George Washington Spine and Pain Center
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
- 18 years of age or older
- History of lumbosacral radiculopathy or lumbar herniated nucleus pulposus
- Scheduled for TFESI at GW Spine and Pain Center
Exclusion Criteria:
- Pregnant or plan on becoming pregnant
- Have undergone TFESI in the past year
- Opioid habituation
- Lumbo-sacral stenosis
- Lumbar surgery
- Lumbar spondylolisthesis
学习计划
研究是如何设计的？
设计细节
队列和干预
团体/队列 |
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Transforaminal Epidural Steroid Injection
Patients with a history of lumbosacral radiculopathy or lumbar herniated nucleus pulposus, scheduled for Transforaminal Epidural Steroid Injection.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Contrast flow patterns
大体时间：3 Months
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Contrast flow patterns will be used as the primary outcome measure.
The statistical test to be employed is to compare the proportions of patients in the study who experienced posterior flow, anterior flow and if that anterior flow had spread to more than 1 vertebral level in either direction, what that direction was, and the presence or absence of vascular flow.
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3 Months
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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VAS pain score
大体时间：3 months
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VAS Pain Score - The statistical test to be employed is Wilcoxon Signed Rank Test to compare if there is a difference in pain score at appointments 1 months and 3 months post-injection relative to pre-injection.
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3 months
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合作者和调查者
调查人员
- 首席研究员：Mehul J Desai, MD MPH、George Washington Spine and Pain Center
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- Kambin
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