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腰椎神经孔和椎间孔硬膜外类固醇注射：经皮入路规划中的关键安全性考虑因素的解剖学复习。

The Lumbar Neural Foramen and Transforaminal Epidural Steroid Injections: An Anatomic Review With Key Safety Considerations in Planning the Percutaneous Approach.

机构信息

1 Department of Radiology, Division of Musculoskeletal Imaging and Intervention, Brigham and Women's Hospital, 75 Francis St, Boston, MA 02115.

2 Department of Radiology, Division of Neuroradiology, Brigham and Women's Hospital, Boston, MA.

出版信息

AJR Am J Roentgenol. 2017 Jul;209(1):W26-W35. doi: 10.2214/AJR.16.17471. Epub 2017 May 15.

DOI:10.2214/AJR.16.17471
PMID:28504548
Abstract

OBJECTIVE

The purpose of this article is to review the anatomy of the lumbar neural foramen and to describe techniques of transforaminal epidural steroid injections with emphasis on safety. Rare cases of paraplegia have been reported.

CONCLUSION

Although no consensus currently exists about which approach is the safest, knowledge of the foraminal anatomy is a key consideration when choosing a needle approach for transforaminal epidural steroid injections.

摘要

目的

本文旨在回顾腰椎神经孔的解剖结构，并描述经椎间孔硬膜外类固醇注射技术，重点介绍安全性。已有少数截瘫病例的报道。

结论

尽管目前对于哪种方法最安全尚无共识，但在选择经椎间孔硬膜外类固醇注射的进针方法时，了解椎间孔解剖结构是一个关键因素。

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