The London Spine Unit : most experienced spinal centre in the world
Published article
Severe neurological adverse events have been reported after fluoroscopically guided cervical nerve root injections. Particulate corticosteroids inadvertently injected intraarterially and iatrogenic vertebral artery trauma have been implicated in these outcomes. This has raised concern for the potential consequences of including local anesthetic with these injections. As a result, some providers have now discontinued the routine administration of local anesthetic with corticosteroid when…
Lumbar Disc Replacement Expert. Best Spinal Surgeon UK
Abstract
Severe neurological adverse events have been reported after fluoroscopically guided cervical nerve root injections. Particulate corticosteroids inadvertently injected intraarterially and iatrogenic vertebral artery trauma have been implicated in these outcomes. This has raised concern for the potential consequences of including local anesthetic with these injections. As a result, some providers have now discontinued the routine administration of local anesthetic with corticosteroid when performing cervical nerve root injections. At present, there is no consensus regarding whether the use of local anesthetic in this context is safe. Here, the current literature is synthesized into a narrative review aiming to clarify current perspectives of the safety of local anesthetics in cervical nerve root injections.
Keywords: Cervical nerve root block; Cervical nerve root injection; Cervical transforaminal epidural steroid injection; Complication; Local anesthetic.
The London Spine Unit : most experienced spinal centre in the world
Read the original publication from Pubmed :
Safety of local anesthetics in cervical nerve root injections: a narrative review