2022
Is there an association between lumbosacral epidural lipomatosis and lumbosacral epidural steroid injections? A comprehensive narrative literature review
Holder EK, Raju R, Dundas MA, Husu EN, McCormick ZL. Is there an association between lumbosacral epidural lipomatosis and lumbosacral epidural steroid injections? A comprehensive narrative literature review. North American Spine Society Journal (NASSJ) 2022, 9: 100101. PMID: 35243452, PMCID: PMC8857075, DOI: 10.1016/j.xnsj.2022.100101.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsLumbosacral epidural lipomatosisLumbosacral epidural steroid injectionsSpinal epidural lipomatosisEpidural steroid injectionsEpidural lipomatosisRadicular painCorticosteroid exposureSteroid injectionSystemic steroid exposureHigh-quality studiesPatients' clinical dataDevelopment/progressionIndependent causal relationshipCurrent management recommendationsSteroid exposureTreatment optionsRisk factorsClinical dataPainLipomatosisNarrative literature reviewNotable associationGoogle ScholarPotential painComprehensive narrative literature review
2020
Differential rates of intravascular uptake and pain perception during lumbosacral epidural injection among adults using a 22-gauge needle versus 25-gauge needle: a randomized clinical trial
Raju R, Mehnert M, Stolzenberg D, Simon J, Conliffe T, Gehret J. Differential rates of intravascular uptake and pain perception during lumbosacral epidural injection among adults using a 22-gauge needle versus 25-gauge needle: a randomized clinical trial. BMC Anesthesiology 2020, 20: 222. PMID: 32883241, PMCID: PMC7469311, DOI: 10.1186/s12871-020-01137-0.Peer-Reviewed Original ResearchConceptsTransforaminal epidural steroid injectionEpidural steroid injectionsLumbosacral transforaminal epidural steroid injectionsIntravascular uptakeSmall-gauge needlesSteroid injectionPain perceptionGauge needleEpidural injectionLess painClinical trialsOutcome measuresAverage numerical rating scale scoresLumbosacral transforaminal epidural injectionsNumerical rating scale scoresPatient reported painStudy 84 patientsSerious neurological complicationsSecondary outcome measuresTransforaminal epidural injectionsPrimary outcome measureRandomized clinical trialsLumbosacral epidural injectionNumerical rating scaleRating Scale scores