AJDRAJNR - American Journal of Neuroradiology

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Intraforaminal O2-O3 versus Periradicular Steroidal Infiltrations in Lower Back Pain: Randomized Controlled Study

Matteo Bonettia, Alessandro Fontanaa, Biagio Cotticellib, Giorgio Dalla Voltaa, Massimiliano Guindanib and Marco Leonardic

a Department of Neuroradiology and Division of Neurology, Istituto Clinico Città di Brescia, Italy
b Division of Neurology, Casa di Cura S. Anna, Italy
c Department of Neuroradiology Ospedale Bellaria, Bologna, Italy



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FIG 1. Preliminary CT measurements, periganglionic approach.



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FIG 2. Infiltration of the gas mixture.

A, L4-L5 right intraextraforaminal disk herniation (arrows).

B, Correct positioning of the needle.

C, Distribution of the gas mixture in the herniation (arrowheads) and in the facet joint (arrows).



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FIG 3. After intraforaminal infiltration, the gas mixture is distributed between the posterior longitudinal ligament and the dural sheath.



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FIG 4. Infiltration of the gas mixture.

A, Preliminary CT measurements of L4-L5 disk herniation on the left side.

B, Correct positioning of the needle.

C, Distribution of the gas mixture.