TY  - CHAP
M1  - Book, Section
TI  - Interlaminar Epidural Steroid Injections: Cervical, Thoracic, Lumbar, and Caudal
A1  - Doshi, Raj
A1  - Patel, Vikram B.
A1  - Abdi, Salahadin
A2  - Diwan, Sudhir
A2  - Staats, Peter S.
Y1  - 2015
N1  - 
T2  - Atlas of Pain Medicine Procedures
AB  - Epidural  steroid  injections  have  been  used  for  the  treatment  of  radicular  pain  and  spinal  pathology  for  many  decades.  The  epidural  space  can  be  accessed  posteriorly  via  the  interlaminar  space.  Although  using  an  AP  lateral  or  contralateral  oblique  fluoroscopically  guided  approach  can  be  more  precise  and  can  also  help  visualize  the  spread  of  the  injectate  under  live  fluoroscopic  view,  a  “blind”  injection  performed  by  a  skilled  practitioner  using  a  “loss  of  resistance”  technique  to  identify  passage  into  the  epidural  space  via  the  ligamentum  flavum  has  been  utilized  successfully  for  years.  The  relative  simplicity  of  the  blind  technique  and  one’s  ability  to  perform  it  without  the  use  of  costly  equipment  such  as  a  fluoroscopy  unit  has  provided  a  much-needed  procedure  to  the  masses  especially  in  developing  countries.  The  use  of  interlaminar  approach  to  the  epidural  space  for  injection  is  one  of  the  most  frequently  used  procedures  in  the  practice  of  interventional  pain  management.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/20
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=1107196873
ER  -