Our publications reflect the Department of Orthopaedic Surgery’s pursuit of clinical, translational and basic science research excellence.
Featured Publication of the Quarter
The following study used magnetic resonance imaging (MRI) to evaluate the dispersal patterns of epidural steroid injections (ESI) in the spine. The researchers identified patients between the ages of 18 and 85 with cervical radiculopathy. A gadolinium-enhanced cervical ESI was administered via an interlaminar approach under fluoroscopic guidance. Within 15 minutes of administering the injection, participants underwent a cervical spine MRI to assess craniocaudal dispersal and the presence or absence of circumferential dispersal. The injectate dispersed a mean of 8.11 cm in the cranial direction, 6.63 cm in the caudal direction, and 360 degrees circumferentially. Results indicate that fluoroscopy-guided cervical interlaminar ESI resulted in nearly uniform circumferential dispersal within the epidural space with multilevel migration in the cranial and caudal directions. The study also concluded that MRI is a safe and accurate tool to evaluate spinal injectate dispersal.
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