Systemic Reactions to Spinal Injections

Review the journal article and evidentiary table that analyzes the methodology and findings of a study that aimed to characterize the incidence of systemic reactions to epidural and facet injections of steroid. The paper, The Incidence of Various Types of Systemic Reactions Related to Epidural Steroid Injections: A Prospective Observational Study by Lee GY, Lee JW, Yeom JS, Kim KJ, Shin HI, Kang HS, was critically reviewed by SIS Research Division members Drs. W. Jeremy Beckworth and Joe Lee.

Once you review the article and evidentiary table, you will be asked to complete a quiz to earn continuing medical education (CME) credits.

Fair Use Disclaimer
This article is made available for the purpose of this online continuing medical education activity under the fair use doctrine of copyright law, which allows that the use of a copyrighted work “for purposes such as criticism, comment, news reporting, teaching (including multiple copies for classroom use), scholarship, or research, is not an infringement of copyright” and factors to consider are “the purpose and character of the use, including whether such use is of a commercial nature or is for nonprofit educational purposes” Section 107 of the Copyright Act.

Credit Designation Statement
SIS designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Educational Objectives
Upon completion of this activity, participants should be able to:

• Examine emerging literature to mitigate risks and to practice spine interventions safely and best protect patients
• Discuss the application of evidence-based medicine principles to recent research findings
• Apply research findings to the practice of ethical, evidence-based interventional spine care

Research Division Reviewers Disclosure Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME DEFINED COMMERCIAL INTERESTS
W. Jeremy Beckworth, MD
Nothing to disclose

Joe Lee, MD
Nothing to disclose

OTHER DISCLOSURES
W. Jeremy Beckworth, MD
Grant support: Mesoblast

Joe Lee, MD
Stock ownership: Pfizer, mutual funds
Consultant: Prium, Advanced Medical Reviews, Veterans Evaluation Services, Redlink
Expert witness: Prium
Position in physician society/association: SIS
Travel expenses: Veteran Evaluation

Accreditation Statement
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation Statement
SIS designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Commercial Support
No commercial support was received for this activity.

Date of Activity Release: 7/9/2018
Date of Activity Expiration: 7/8/2021