Thoracic medial branch block, Southlake


Objective

Chronic neck or back pain, Southlake can be managed with various procedures. Although these procedures are usually well-tolerated, a variety of side effects have been reported. In this study we reviewed cases of unexpected temporary adverse events after blocks and suggest possible causes.

Methods

We reviewed the records of patients treated with spinal pain blocks between December 2009 and January 2011. The types of blocks performed were medial branch blocks, Southlake     interlaminar epidural blocks and transforaminal epidural blocks.

Results

There were 704 procedures in 613 patients. Ten patients had 12 transient neurologic events. Nine patients were in Group A and one was in Group B. Transient complications occurred in four patients after cervical block and in eight patients after lumbar block.
Side effects of lumbar spine blocks were associated with the concentration of mepivacaine (p<0.05.

Conclusion

Spinal pain blocks are a good option for relieving pain, but clinicians should always keep in mind the potential for development of inevitable complications.
Careful history-taking, appropriate selection of the anesthetics, and using real-time fluoroscopy could help reduce the occurrence of adverse events.


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