European radiology
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Review Case Reports
Paraplegia complicating selective steroid injections of the lumbar spine. Report of five cases and review of the literature.
Selective steroid injections of the lumbar spine carry a risk of paraplegia of sudden onset. Seven cases have been reported in the English literature since 2002. ⋯ The high rate of French cases when compared to the literature might arise from the almost exclusive use of prednisolone acetate, a molecule with a high tendency to coalesce in macro-aggregates, putting the spinal cord at risk of arterial supply embolization.