{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T06:51:30Z","timestamp":1780555890162,"version":"3.54.1"},"reference-count":13,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,2,20]],"date-time":"2016-02-20T00:00:00Z","timestamp":1455926400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2016,4]]},"abstract":"Abstract<\/jats:title>Introduction<\/jats:title>There is very strong evidence for the efficacy of transforaminal epidural steroid injection (TFESI<\/jats:styled-content>) in relieving lumbar radicular pain due to a herniated disk. However, case studies have documented paralysis as a potential complication from this approach as the artery of Adamkiewicz may traverse within the subpedicular \u201csafe triangle.\u201d Kambin's retrodiscal approach has been postulated as a safe means to the transforaminal approach to avoid the artery of Adamkiewicz.<\/jats:p><\/jats:sec>Case Presentation<\/jats:title>A 51\u2010year\u2010old woman presented with right\u2010sided lumbar radicular pain at the L3\u2013L4 and L4\u2013L5 level secondary to a herniated disk. As conservative therapies failed to improve her radicular back pain, the patient opted to proceed with an epidural steroid injection. She subsequently underwent a right L3\u2013L4 and L4\u2013L5 transforaminal epidural steroid injection via Kambin's retrodiscal approach. Although anteroposterior and lateral views revealed optimal needle placement, live and postcontrast fluoroscopy revealed an unavoidable and inadvertent intradiscal spread.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>Kambin's approach is at the level of the intervertebral disk and may increase the incidence of intradiscal needle entry and injection.<\/jats:p><\/jats:sec>","DOI":"10.1111\/papr.12420","type":"journal-article","created":{"date-parts":[[2016,2,20]],"date-time":"2016-02-20T20:57:43Z","timestamp":1456001863000},"source":"Crossref","is-referenced-by-count":10,"title":["Inadvertent Intradiscal Injection with TFESI<\/scp> Utilizing Kambin's Retrodiscal Approach in the Treatment of Acute Lumbar Radiculopathy"],"prefix":"10.1111","volume":"16","author":[{"given":"Kevin H.","family":"Trinh","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation at Hofstra North Shore LIJ School of Medicine Manhasset New York U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher G.","family":"Gharibo","sequence":"additional","affiliation":[{"name":"Departments of Anesthesia and Orthopaedic Surgery NYU Associates Franklin Lakes New Jersey U.S.A"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steve M.","family":"Aydin","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation at Hofstra North Shore LIJ School of Medicine Manhasset New York U.S.A"},{"name":"Musculoskeletal Medicine Manhattan Spine and Pain New York New York U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,2,20]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2008.543"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ncl.2007.01.004"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.36076\/ppj.2007\/10\/185"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-198401000-00004"},{"key":"e_1_2_4_6_1","doi-asserted-by":"crossref","first-page":"217","DOI":"10.36076\/ppj.2004\/7\/217","article-title":"Evaluation of lumbar transforaminal epidural injections with needle placement and contrast flow patterns: a prospective, descriptive report","volume":"7","author":"Manchikanti L","year":"2004","journal-title":"Pain Physician"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4637.2010.00948.x"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198606000-00008"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.5535\/arm.2011.35.6.833"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2006.06.380"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/00115550-200409000-00016"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(02)00343-3"},{"key":"e_1_2_4_13_1","doi-asserted-by":"crossref","first-page":"473","DOI":"10.36076\/ppj.2003\/6\/473","article-title":"Prevention and management of complications from common spinal injections","volume":"6","author":"Windsor RE","year":"2003","journal-title":"Pain Physician"},{"key":"e_1_2_4_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31820fc7f2"}],"container-title":["Pain Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpapr.12420","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papr.12420","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T16:45:00Z","timestamp":1696178700000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/papr.12420"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,2,20]]},"references-count":13,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,4]]}},"alternative-id":["10.1111\/papr.12420"],"URL":"https:\/\/doi.org\/10.1111\/papr.12420","archive":["Portico"],"relation":{},"ISSN":["1530-7085","1533-2500"],"issn-type":[{"value":"1530-7085","type":"print"},{"value":"1533-2500","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,2,20]]}}}