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So what are you guys currently doing if you get an accidental discogram. For example, related to using the retro-discal TF approach.
I've had 2-3 patients who had unexpectedly lateral foraminal disc protrusions that led to injections of the disc with omnipaque.
What I've been doing is explaining the risk to the patient- somewhere between 0-1% that they may get a disc infection, and that prophylactic antibiotics might reduce that risk. If they accept, I put them on cephalexin 500 mg QID x 3 days.
I'm starting to think, wouldn't it make more sense to bust out a cefazolin bottle right there, and put 100 mg in 1 mL right into the disc?
I've had 2-3 patients who had unexpectedly lateral foraminal disc protrusions that led to injections of the disc with omnipaque.
What I've been doing is explaining the risk to the patient- somewhere between 0-1% that they may get a disc infection, and that prophylactic antibiotics might reduce that risk. If they accept, I put them on cephalexin 500 mg QID x 3 days.
I'm starting to think, wouldn't it make more sense to bust out a cefazolin bottle right there, and put 100 mg in 1 mL right into the disc?