The hypotenuse is the exiting nerve; the base is the caudad vertebral body; and the height is the traversing nerve root. from publication: Kambin’s Triangle. To compare the short-term effect and advantage of transforaminal epidural steroid injection (TFESI) performed using the Kambin’s triangle and. Objective The aim of this study was to conduct a randomized, blinded, prospective outcome study on the short-term benefits of the Kambin triangle vs. the.

Author: Zugore Taujora
Country: Czech Republic
Language: English (Spanish)
Genre: Finance
Published (Last): 25 May 2013
Pages: 479
PDF File Size: 8.75 Mb
ePub File Size: 16.10 Mb
ISBN: 783-6-69560-723-5
Downloads: 37252
Price: Free* [*Free Regsitration Required]
Uploader: Fele

Also, they identified that the AKA was located in the safe triangle on anterior-posterior view, confirming that steroid injection within the AKA and vessel convulsion and embolism by direct damage to vessels could be prevented when the needle was targeted to the lower part of the neural foramen in lumbar transforaminal injection.

Short-term therapeutic effects and patient satisfaction before and after injection The short-term treatment effects significantly declined in both groups at 2 and 4 weeks after the procedure. By clicking accept or continuing to use the site, you agree to the terms outlined in our Privacy PolicyTerms of Serviceand Dataset License. The short-term treatment effects significantly declined in both groups at 2 and 4 weeks after the procedure.

Cadaveric Analysis of the Kambin’s Triangle.

Percutaneous lateral discectomy of the lumber spine: Lumbar retrodiscal transforaminal injection. By using logistic trjangle, correlations between success of treatment and several variables method of injection, age, gender and period of prevalence were analyzed.


Evaluation of lumbar transforaminal epidural injections with needle placement and contrast flow patterns: However, there was no significant difference between the two groups in initial pain, pain after 2 weeks and pain changes after 4 weeks Table 2. Written by Anthony T.

Quality Medical Publishing, This is an open access article licensed under the terms of Creative Commons Attribution 4. Thus, the area at each level was 60 mm 2 L1-L2 At L-5, S-1, less room is present in the foramen, and a lateral facetectomy may be necessary if a high and narrow Ilium is present.

An area of partial fecetectomy is colored by blue. Received Jun 18; Accepted Sep Spinal stenosis is a condition produced by compression of the nerve root due to narrowness of the spinal canal and nervous canal following spine fracture, thickness of zygapophysial joint and ligamentum flavum and ossification of posterior longitudinal ligament.

Percutaneous Transforaminal Endoscopic Spine Surgery: Introduction – Part 1

trianglr National Center for Biotechnology InformationU. Glaser SE, Falco F. The effect of nerve-root injections on the need for operative treatment of lumbar radicular pain.

Timothy S CrallLouis A. Citations Publications citing this paper.

Kambin’s Triangle Approach of Lumbar Transforaminal Epidural Injection with Spinal Stenosis

Showing of 32 references. Then, the needle was located medially in the 5 o’clock direction of the upper pedicle at the anteroposterior view, without further advancement and in the posteroinferior of the intervertebral foramen at lateral view.

Local ,ambin application blocks transmission in normal nociceptive C-fibres. The main trunk of the AKA enters the medial spinal canal through either the mid or the rostral portion of the foramen. Kambin initially emphasized avoiding the spinal canal and staying within the confines of the triangular zone. The hypotenuse is the exiting nerve; the kaambin is the caudad vertebral body; and the height is the traversing nerve root.


Find articles by Byeong Ju Lee.

Percutaneous Transforaminal Endoscopic Spine Surgery: Introduction – Part 1

The merits and flaws of the two methods were compared by observing diffusion location and scope of the contrast agents, and the discomfort produced by injection. Find articles by Yongbum Park.

MausCurt L Behrns Pain medicine As for the lumbar spinal nerve, there is a triangle area in which the nerve leaves the intervertebral foramen obliquely to form the hypotenuse, the connected line to the lower part of the pedicle is the bottom side, and the line forming a right angle against the exterior of the pedicle is the vertical plate.

Ralf Wagner and Dr. Lumbar Region Search for additional papers on this topic. We investigated a total of 52 patients, and six were excluded because after applying our exclusion criteria. Direct Lateral Transpsoas Approach. Partial fecetectomy to widen transforaminal space. One patient from the subpedicular approach and one from the Kambin’s triangle approach were excluded because medication was used during the research period.