{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T17:23:44Z","timestamp":1785432224192,"version":"3.56.0"},"reference-count":12,"publisher":"Open Medical Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n Background<\/jats:title>\n Cervical epidural steroid injections (CESIs) are frequently utilized for the treatment of cervical radiculopathy and axial neck pain. Given the anatomical complexity of the cervical spine, techniques that enhance precision while maintaining safety are essential. This case series evaluates the safety of a catheter-based approach for CESI, allowing targeted medication delivery to the affected spinal level.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A retrospective review was conducted of 9 patients who underwent cervical ESIs using a catheter-based technique. Under fluoroscopic guidance, the epidural space was accessed with a touhy needle, and a flexible catheter was advanced to the level of pathology for medication administration. All patients were monitored during and after the procedure for any complications.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n All 9 procedures were successfully completed without any reported complications. There were no cases of dural puncture, neurological injury, or other adverse events associated with the procedure.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This case series supports the safety and feasibility of catheter-based cervical epidural steroid injections. The technique allowed for accurate targeting of pathology without any observed complications. These preliminary findings warrant further investigation in larger, controlled studies to confirm safety and efficacy.<\/jats:p>\n <\/jats:sec>","DOI":"10.52965\/001c.137668","type":"journal-article","created":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T20:51:01Z","timestamp":1747342261000},"source":"Crossref","is-referenced-by-count":1,"title":["Safety of Catheter-Based Cervical Epidural Steroid Injections: A Retrospective Review"],"prefix":"10.52965","volume":"17","author":[{"given":"Jamal","family":"Hasoon","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03gds6c39","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Texas Health Science Center at Houston","department":["Department of Anesthesiology, Critical Care, and Pain Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saiyid","family":"Mahmood","sequence":"additional","affiliation":[{"name":"Montefiore Einstein Medical Center","department":["Department of Physiatry"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed","family":"Mahmood","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/04ehecz88","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pittsburgh Medical Center","department":["Department of Physiatry and Pain Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan D","family":"Kaye","sequence":"additional","affiliation":[{"name":"Louisiana State University Health Shreveport","department":["Department of Anesthesiology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher L","family":"Robinson","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Brigham and Women's Hospital","department":["Department of Anesthesiology, Perioperative, and Pain Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2025,5,16]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"publisher","first-page":"1249","DOI":"10.1097\/BRS.0b013e318053ec50","article-title":"Cervical transforaminal epidural steroid injections: more dangerous than we think?","volume":"32","author":"G. C. Scanlon","year":"2007","journal-title":"Spine (Phila Pa 1976)"},{"issue":"11","key":"ref2","doi-asserted-by":"publisher","first-page":"e48528","DOI":"10.7759\/cureus.48528","article-title":"Epidural Catheters for Cervical Epidural Steroid Injections to Target Higher Cervical Pathology: Clinical Images in Practice","volume":"15","author":"P. D. Vu","year":"2023","journal-title":"Cureus"},{"issue":"9","key":"ref3","doi-asserted-by":"publisher","first-page":"813","DOI":"10.1136\/rapm-2021-102514","article-title":"One-year results from a randomized comparative trial of targeted steroid injection via epidural catheter versus standard transforaminal epidural injection for the treatment of unilateral cervical radicular pain","volume":"46","author":"A. 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Costandi","year":"2015","journal-title":"Regional Anesthesia and Pain Medicine"},{"issue":"1","key":"ref7","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1007\/s11916-025-01385-0","article-title":"Risks and Benefits of Cervical Transforaminal Epidural Steroid Injections: A Comprehensive Review","volume":"29","author":"J. Hasoon","year":"2025","journal-title":"Curr Pain Headache Rep"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"124767","DOI":"10.52965\/001c.124767","article-title":"Optimizing Cervical Epidural Steroid Injections: A Case Report","volume":"16","author":"J. Hasoon","year":"2024","journal-title":"Orthop Rev (Pavia)"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"126044","DOI":"10.52965\/001c.126044","article-title":"Cervical Epidural Steroid Injection for Cervical Radicular Pain in a Patient with Fractured Cervical Hardware","volume":"16","author":"K. Chu","year":"2024","journal-title":"Orthop Rev (Pavia)"},{"issue":"5","key":"ref10","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1136\/rapm-00115550-199621050-00001","article-title":"Epidural anatomy examined by cryomicrotome section. Influence of age, vertebral level, and disease","volume":"21","author":"Q. H. Hogan","year":"1996","journal-title":"Reg Anesth"},{"issue":"1-2","key":"ref11","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1016\/j.pain.2005.05.030","article-title":"Anatomy of the cervical intervertebral foramina: vulnerable arteries and ischemic neurologic injuries after transforaminal epidural injections","volume":"117","author":"M. A. Huntoon","year":"2005","journal-title":"Pain"},{"issue":"7","key":"ref12","doi-asserted-by":"publisher","first-page":"731","DOI":"10.1097\/BRS.0b013e318194e247","article-title":"Complications of transforaminal cervical epidural steroid injections","volume":"34","author":"G. Malhotra","year":"2009","journal-title":"Spine (Phila Pa 1976)"}],"container-title":["Orthopedic Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/137668-safety-of-catheter-based-cervical-epidural-steroid-injections-a-retrospective-review","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T00:59:35Z","timestamp":1761440375000},"score":1,"resource":{"primary":{"URL":"https:\/\/orthopedicreviews.openmedicalpublishing.org\/article\/137668-safety-of-catheter-based-cervical-epidural-steroid-injections-a-retrospective-review"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,16]]},"references-count":12,"URL":"https:\/\/doi.org\/10.52965\/001c.137668","relation":{},"ISSN":["2035-8164"],"issn-type":[{"value":"2035-8164","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,16]]}}}