SPORT Trial and Interlaminar vs. Transforaminal Epidural Injection Approach

During this episode, Dr. Malanga will discuss an important randomized trial called the Spine Patient Outcomes Research Trial (SPORT) published in JAMA (2006). This research study enrolled 743 patients, of which 528 patients received surgery and 191 received nonoperative care for lumbar disk herniation at the 2-year mark. Also, we will be discussing an important topic on non-operative treatment options in particular epidural injections. We will compare the efficacy and safety profile for transforaminal and interlaminar injections to help our future providers give their patients the best treatment option. Time Stamp: · Opening remarks (0:29) · Introduction to the Spine Patient Outcomes Research Trial (SPORT) by Dr. James Weinstein (1:55) · Defining non-operative treatment for the SPORT research study (4:00) · How could this study be improved? (6:15) · Thoughts on non-operative treatment options like epidural injections (7:20) · Comparing transforaminal vs. interlaminar epidural injections (8:15) · Why are interlaminar injections not as popular? (10:10) · Understanding how paralysis can occur with epidural injections (11:30) · Is the transforaminal approach superior to the interlaminar approach? (12:35) · Cervical versus lumbar interlaminar approach (16:15) · Closing remarks (17:10)

You can listen to SPORT Trial and Interlaminar vs. Transforaminal Epidural Injection Approach online on Radio and Podcast. Open the player on this page to stream the available audio.

SPORT Trial and Interlaminar vs. Transforaminal Epidural Injection Approach is an episode from Malanga Talks by Gerard Malanga.

This episode is 00:17:10 long.

This episode was published on Jan 19, 2021.

Yes. Use the heart button on the episode page to add it to your favorite episodes list.

Yes. This page shows related episodes from Malanga Talks when more episodes are available from the podcast feed.