Key safety considerations when administering epidural steroid injections

摘要: SUMMARY  Neurological and other complications of epidural steroid injections have been widely discussed in recent years. Consequently, the US FDA issued a warning about serious neurological events, some resulting death, consequently is requiring label changes. adverse events numbering 131, including 41 cases arachnoiditis, identified by FDA, 700 fungal meningitis following injection contaminated steroids. A review literature reveals an overwhelming proportion are related to transforaminal injections, with majority them cervical injections. This perspective describes prevalence administering complications, pathoanatomy, mechanism injury various preventive strategies.