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Turk Neurosurg. 2012;22(6):701-5. doi: 10.5137/1019-5149.JTN.5899-12.2.

A practical laboratory study simulating the percutaneous lumbar transforaminal epidural injection: training model in fresh cadaveric sheep spine.

Author information

1
Dr. Lutfi Kirdar Kartal Education and Research Hospital, Department of Algology, Istanbul, Turkey. husnususlu@yahoo.com

Abstract

AIM:

Laboratory training models are essential for developing and refining treatment skills before the clinical application of surgical and invasive procedures. A simple simulation model is needed for young trainees to learn how to handle instruments, and to perform safe lumbar transforaminal epidural injections. Our aim is to present a model of a fresh cadaveric sheep lumbar spine that simulates the lumbar transforaminal epidural injection.

MATERIAL AND METHODS:

The material consists of a 2-year-old fresh cadaveric sheep spine. A 4-step approach was designed for lumbar transforaminal epidural injection under C-arm scopy.

RESULTS:

For the lumbar transforaminal epidural injection, the fluoroscope was adjusted to get a proper oblique view while the material was stabilized in a prone position. The procedure then begin, using the C-arm guidance scopy.

CONCLUSION:

The model simulates well the steps of standard lumbar transforaminal epidural injections in the human spine. The cadaveric sheep spine represents a good method for training and it simulates fluoroscopic lumbar transforaminal epidural steroid injection procedures performed in the human spine.

PMID:
23208900
DOI:
10.5137/1019-5149.JTN.5899-12.2
[Indexed for MEDLINE]
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