Ct guided epidural steroid injection

The clinical history, physical examination, and imaging is consistent with extensive destruction of the lumbar spine extending over three vertebral segments with associated epidural abcess necessitating surgical decompression and fusion. An epidural abscess may present rapidly with neurological compromise. Prognosis improves with prompt decompression, but only 18% of patients with frank abscess and 23% of patients with paralysis completely recover after decompression.

Hadjipavlou et al report in their Level 4 study that leukocyte counts were elevated in % of spondylodiscitis cases. The erythrocyte sedimentation rate was elevated in all cases of epidural abscess.

The article by Harrington et al states that the surgical indications for an epidural abcess include: unsuccessful antibiotic treatment after 6 weeks, vertebral deformity or instability, neurological deficit, MRI showing > 50% compression of thecal sac, and depressed host immune response.

Illustration A shows radiographs following anterior debridement, corpectomy, fibular strut grafting, and Kaneda instrumentation.

Singleton Associates radiologists offer minimally invasive procedures and treatments. Our neuro -interventional radiologists offer a wide variety of minimally invasive interventional procedures for the diagnosis and treatment of neurological and neurovascular disease. The introduction of Multi-slice Computed Tomography (MSCT) provides a non-invasive imaging of the coronary and peripheral arteries. We use minimally invasive interventional procedures for the treatment of certain cancers. These include chemoembolization and radiofrequency ablation (RFA). Chemoembolization is a combination of local delivery of chemotherapy as well as procedure called embolization which traps the chemotherapeutic agent inside the tumor. Our interventional radiologists use a minimally invasive procedure for vertebral compression fractures known as Vertebroplasty. Compression fractures are a common symptom of osteoporosis, which is a loss of the normal bone density.

The benefits from the first shot only lasted 2 weeks. The second and third set of injections lasted about 90 days. In November, I was ready to have surgery. My EMG and nerve conduction tests proved that the nerves were "sleeping" before I was. After another MRI, the neurosurgeon said I was a candidate for surgery but I was not able to get the endoscopic type surgery that is less invasive. I would have an incision about 6-8" long. Along with removing the herniation, they would have to increase the size of the hole where the nerve roots were going through.

Diagnostic Imaging of Milford accepts all major and most secondary insurances. Patients are expected to bring their insurance card to the office at the time of their examination. Claims are submitted through our billing company, McKesson Corp. For questions regarding patient statements and insurance, patients may call (800) 360-4391. Fees for non-covered services and co-payments are expected at the time of your visit.

*We strongly recommend that patients call our office if their insurance carrier is not listed. Additional insurances are added frequently.

Ct guided epidural steroid injection

ct guided epidural steroid injection

Diagnostic Imaging of Milford accepts all major and most secondary insurances. Patients are expected to bring their insurance card to the office at the time of their examination. Claims are submitted through our billing company, McKesson Corp. For questions regarding patient statements and insurance, patients may call (800) 360-4391. Fees for non-covered services and co-payments are expected at the time of your visit.

*We strongly recommend that patients call our office if their insurance carrier is not listed. Additional insurances are added frequently.

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