"extradural location - to avoid intradural injection with resultant adhesive arachnoiditis."
"Post-procedure infection is rare."
"on the AP view, select the upper portion of the inferior spinous process as the entrance point"
"if the spinous processes do not allow the needle insertion in a midline approach, a parasagittal approach is an alternative"
Expected headings
"Positioning/room set-up"
"The patient is placed prone on the fluoroscopy table, and the lower lumbar region is exposed. Positioning a pillow under the abdomen helps to open the spinous processes and facilitates the procedure; sometimes an extra pillow is necessary."
"As with other epidural injections, recovery in the department for 20-30 minutes minimum is recommended, as a proportion of patients will experience transient numbness, weakness or loss of proprioception, making ambulation difficult and dangerous."