ArticleJournal of anaesthesiology, clinical pharmacology
Comparison of ultrasound and fluoroscopy-guided caudal epidural block in low back pain with radiculopathy: A randomized controlled study.
Article in Journal of anaesthesiology, clinical pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed.
- Caudal Epidural Steroid Injection in adults with Chronic Lower Backache: Comparison of Landmark-Guided Technique and Ultrasonography-Guided Technique.Journal of orthopaedic case reports · 2026Article
- Article
- MRI-Based Morphometric Analysis of the Sacral Hiatus and Its Exploratory Value for Predicting Caudal Epidural Block Success: A Retrospective Observational Study.Diagnostics (Basel, Switzerland) · 2025Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background and Aims: Low back pain (LBP) with radiculopathy is a significant global health concern, often leading to reduced quality of life and work absenteeism. Steroid injection using the caudal epidural route offers a non-surgical approach to the management of chronic LBP with radiculopathy. Although fluoroscopy-guided injections are the standard, ultrasound-assisted injection is emerging as an alternative. The aim of this study was to assess and compare the feasibility and effectiveness of caudal epidural blocks assisted by ultrasound versus fluoroscopy in managing LBP with radiculopathy. Material and Methods: A prospective randomized controlled trial was conducted with 30 patients aged 20-80 years suffering from chronic LBP and bilateral radiculopathy. Patients were assigned to ultrasound-assisted (group I) or fluoroscopy-guided (group II) caudal epidural injections. The primary outcome measure was needle placement time. Secondary outcomes included pain assessment, disability evaluation, patient satisfaction, and adverse effects. Statistical analyses were performed using Results: The fluoroscopy-guided group exhibited statistically significantly shorter needle placement time (137.13 s) compared to the ultrasound-assisted group (185.60 s) ( Conclusion: Although fluoroscopy remains the gold standard for caudal epidural injections, ultrasound-assisted procedures demonstrated comparable pain relief, disability improvement, patient satisfaction, and adverse effects. Ultrasound guidance shows promise as technology and expertise advance, offering a potential alternative for managing LBP with radiculopathy.
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