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Sacral Nerve Root Block
Donald V. La Barge, III, MD, MBA
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KEY FACTS

  • Terminology

    • Preprocedure

      • Procedure

        • Post Procedure

          • Outcomes

            TERMINOLOGY

            • Abbreviations

              • Nerve root block (NRB)
            • Synonyms

              • Sacral selective nerve root injection
            • Definitions

              • Selective corticosteroid and long-acting anesthetic injection of sacral nerve root at level of neural foramen

            PREPROCEDURE

            • Indications

              • Contraindications

                • Getting Started

                  PROCEDURE

                  • Patient Position/Location

                    • Equipment Preparation

                      • Procedure Steps

                        • Findings and Reporting

                          • Alternative Procedures/Therapies

                            POST PROCEDURE

                            • Expected Outcome

                              • Things to Do

                                • Things to Avoid

                                  OUTCOMES

                                  • Problems

                                    • Complications

                                      Selected References

                                      1. Mei B et al: Ultrasound-guided lumbar selective nerve root block plus T12 paravertebral and sacral plexus block for hip and knee arthroplasty: three case reports. Medicine (Baltimore). 98(22):e15887, 2019
                                      2. Park YJ et al: Novel method for S1 transforaminal epidural steroid injection. World Neurosurg. ePub, 2019
                                      3. Lee JH et al: Comparison of clinical efficacy of transforaminal and caudal epidural steroid injection in lumbar and lumbosacral disc herniation: a systematic review and meta-analysis. Spine J. 18(12):2343-53, 2018
                                      4. Cohen SP et al: Epidural steroid injections compared with gabapentin for lumbosacral radicular pain: multicenter randomized double blind comparative efficacy study. BMJ. 350:h1748, 2015
                                      5. Chang-Chien GC et al: Transforaminal versus interlaminar approaches to epidural steroid injections: a systematic review of comparative studies for lumbosacral radicular pain. Pain Physician. 17(4):E509-24, 2014
                                      6. Boezaart AP et al: Paravertebral block: cervical, thoracic, lumbar, and sacral. Curr Opin Anaesthesiol. 22(5):637-43, 2009
                                      7. Vranken JH et al: Continuous sacral nerve root block in the management of neuropathic cancer pain. Anesth Analg. 95(6):1724-5, 2002
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Preprocedure

                                          • Procedure

                                            • Post Procedure

                                              • Outcomes

                                                TERMINOLOGY

                                                • Abbreviations

                                                  • Nerve root block (NRB)
                                                • Synonyms

                                                  • Sacral selective nerve root injection
                                                • Definitions

                                                  • Selective corticosteroid and long-acting anesthetic injection of sacral nerve root at level of neural foramen

                                                PREPROCEDURE

                                                • Indications

                                                  • Contraindications

                                                    • Getting Started

                                                      PROCEDURE

                                                      • Patient Position/Location

                                                        • Equipment Preparation

                                                          • Procedure Steps

                                                            • Findings and Reporting

                                                              • Alternative Procedures/Therapies

                                                                POST PROCEDURE

                                                                • Expected Outcome

                                                                  • Things to Do

                                                                    • Things to Avoid

                                                                      OUTCOMES

                                                                      • Problems

                                                                        • Complications

                                                                          Selected References

                                                                          1. Mei B et al: Ultrasound-guided lumbar selective nerve root block plus T12 paravertebral and sacral plexus block for hip and knee arthroplasty: three case reports. Medicine (Baltimore). 98(22):e15887, 2019
                                                                          2. Park YJ et al: Novel method for S1 transforaminal epidural steroid injection. World Neurosurg. ePub, 2019
                                                                          3. Lee JH et al: Comparison of clinical efficacy of transforaminal and caudal epidural steroid injection in lumbar and lumbosacral disc herniation: a systematic review and meta-analysis. Spine J. 18(12):2343-53, 2018
                                                                          4. Cohen SP et al: Epidural steroid injections compared with gabapentin for lumbosacral radicular pain: multicenter randomized double blind comparative efficacy study. BMJ. 350:h1748, 2015
                                                                          5. Chang-Chien GC et al: Transforaminal versus interlaminar approaches to epidural steroid injections: a systematic review of comparative studies for lumbosacral radicular pain. Pain Physician. 17(4):E509-24, 2014
                                                                          6. Boezaart AP et al: Paravertebral block: cervical, thoracic, lumbar, and sacral. Curr Opin Anaesthesiol. 22(5):637-43, 2009
                                                                          7. Vranken JH et al: Continuous sacral nerve root block in the management of neuropathic cancer pain. Anesth Analg. 95(6):1724-5, 2002