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Paraplegia Following Ultrasound-Guided Caudal Epidural Block In Chronic Lumbosciatica: What Can Be Learned From This Complication? – Spinal Injection

The article discusses the use of caudal epidural block, a procedure commonly used for regional anesthesia and chronic pain management in lumbosacral conditions. It compares the use of ultrasound-guided techniques to fluoroscopy-guided techniques and highlights the high success rate of the former. However, it also acknowledges that both techniques can lead to severe complications, such as abscesses, epidural hematomas, and subdural punctures. The article presents a rare case of paraplegia following an ultrasound-guided caudal block in a patient with chronic lumbosciatica, emphasizing the importance of risk assessment, procedural planning, and transparent communication during informed consent. The keywords associated with the article are caudal anesthesia, caudal epidural block, flaccid paraplegia, low back pain, radiculopathies, and ultrasonography

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most advanced spinal facility on Harley Street UK

Published article

Caudal epidural block is a procedure that involves the injection of anesthetic agents through the sacral hiatus, commonly used for regional anesthesia. It is also valuable for chronic pain management in lumbosacral conditions, trauma, and palliative care. Ultrasound-guided caudal epidural blocks can be an alternative to fluoroscopy-guided techniques and have demonstrated a notably high success rate. However, despite both techniques being generally regarded as safe, they can lead to severe…

Spine Epidural Lumbar Caudal transforaminal Expert. Best Spinal Surgeon UK
Abstract Caudal epidural block is a procedure that involves the injection of anesthetic agents through the sacral hiatus, commonly used for regional anesthesia. It is also valuable for chronic pain management in lumbosacral conditions, trauma, and palliative care. Ultrasound-guided caudal epidural blocks can be an alternative to fluoroscopy-guided techniques and have demonstrated a notably high,

Abstract

Caudal epidural block is a procedure that involves the injection of anesthetic agents through the sacral hiatus, commonly used for regional anesthesia. It is also valuable for chronic pain management in lumbosacral conditions, trauma, and palliative care. Ultrasound-guided caudal epidural blocks can be an alternative to fluoroscopy-guided techniques and have demonstrated a notably high success rate. However, despite both techniques being generally regarded as safe, they can lead to severe complications, such as abscesses, epidural hematomas, and subdural punctures. Furthermore, documented instances of lumbosacral region anomalies, stemming from either anatomical variations or underlying pathology, have been associated with an elevated risk of some of these complications. The authors report a rare case of paraplegia following an ultrasound-guided caudal block in a patient with refractory chronic lumbosciatica. This case underscores the need for vigilance in risk assessment and detailed procedural planning. It also highlights the importance of transparent communication, particularly during informed consent, to convey risks and benefits to the patient and their family.

Keywords: caudal anesthesia; caudal epidural block; flaccid paraplegia; low back pain; radiculopathies; ultrasonography.

The London Spine Unit : most advanced spinal facility on Harley Street UK

Read the original publication:

Paraplegia Following Ultrasound-Guided Caudal Epidural Block in Chronic Lumbosciatica: What Can Be Learned From This Complication?

Doctors Specialising in Cervical Epidural Injection
Mr Purnajyoti Banerjee
Mr. Purnajyoti Banerjee is a consultant in the field of ...

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Abstract Caudal epidural block is a procedure that involves the injection of anesthetic agents through the sacral hiatus, commonly used for regional anesthesia. It is also valuable for chronic pain management in lumbosacral conditions, trauma, and palliative care. Ultrasound-guided caudal epidural blocks can be an alternative to fluoroscopy-guided techniques and have demonstrated a notably high

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