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Transforaminal Epidural Complications

Dr. Scott Glaser discusses the risks associated with safe triangle transforaminal epidural steroid injection (TFESI). Dr. Glaser opens with several cases of safe triangle TFESI-induced spinal cord infarcts and describes the controversy surrounding the etiology of TFESI-related infarcts.

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He then provides compelling evidence that safe triangle injections are far more dangerous than injections in Kambin’s triangle. Dr. Glaser also touches on the lack of robust evidence for non-particulate steroids in avoiding TFESI-induced injury.

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This experience is powered by CMEfy – an AI-powered platform that directs learners along a pathway to capture reflections at point of inspiration, point of care. Clinicians may earn CME/CE credit via ReflectCE, the accredited activity portal. Learn more at about.cmefy.com/cme-info

2 Comments
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  • Thiago Carvalho
    4 years ago

    I AM FROM BRAZIL I HAD A CASE TFESI L2L3 , L4L5 AND L5S1 LEFT SIDE
    I DID THAT IN JANUARY AND THE PATIENT ENVOLVED WITH PLEGIA ON THE LEFT SIDE. I USED DEXAMETAZONA
    WITH SF ONLY . SHE DID POTENCIAL EVOCADO WHAT EVIDENCE THAT THE ROOTS ARE NORAML ,MAGNETIC RESONANCE WITHOUT ALTERATIONS . I WOULD LIKE TO DISCUSS THIS CASE WITH DR SCOTT IS POSSIBLE ?

    THANKS .