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 - 2024/10/08 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1107196873 ER -