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Am J Phys Med Rehabil. 2001 Jun;80(6):416-24.

Complications of fluoroscopically guided caudal epidural injections.

Author information

1
Florida Spine Institute, Clearwater 33765, USA.

Abstract

OBJECTIVES:

To assess the incidence of complications of fluoroscopically guided caudal epidural injections.

DESIGN:

A retrospective cohort design study in which chart review was performed on patients, who presented with radiculopathy and received fluoroscopically guided caudal epidural steroid injections. All injections were performed consecutively over a 12-mo period. An independent observer reviewed medical charts, which included a 24-hr post procedure telephone call by an ambulatory surgery center nurse, who asked a standardized questionnaire about complications after the injections. Physician follow-up office notes 1 to 3 wk after injection along with epidurograms were reviewed.

RESULTS:

The charts of 139 patients, who received 257 injections, were reviewed. Complications per injection included 12 episodes of insomnia the night of the injection (4.7%), 9 transient nonpositional headaches that resolved within 24 hr (3.5%), 8 increased back pain (3.1%), 6 facial flushing (2.3%), 2 vasovagal reactions (0.8%), 2 episodes of nausea (0.8%), and 1 increased leg pain (0.4%). No dural punctures occurred.

CONCLUSIONS:

No major complications occurred. The incidence of minor complications was 15.6% per injection. All reactions resolved without morbidity and no patient required hospitalization.

PMID:
11399002
[Indexed for MEDLINE]

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