Abstract

Lumbar transforaminal steroid injections (LTFI) for radicular back pain are generally safe and well tolerated. In the United States alone, Medicare data indicate that over 1 million LTFI are carried out every year (Table 1).1 In the last decade, a cluster of case reports from the US, England, and France, describing 15 patients, have highlighted the rare complication of spinal cord infarction related to LFTI. Although the exact incidence of this complication is unknown, the risk of spinal cord infarction from a LTFI is likely to be less than one per million per year.

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