Comparison of Efficacy between Transforaminal Epidural Steroid Injection Technique without Contrast versus with Contrast in Lumbar Radiculopathy: A Prospective Longitudinal Cohort Study
Study Design A prospective longitudinal cohort study. Purpose To evaluate the efficacy of two different techniques of transforaminal epidural steroid injection (TFESI) with contrast and without contrast in treating lumbar radiculopathy. Overview of Literature Epidural injections are one of the most...
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| Format: | Article |
| Language: | English |
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Korean Spine Society
2023-12-01
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| Series: | Asian Spine Journal |
| Subjects: | |
| Online Access: | http://asianspinejournal.org/upload/pdf/asj-2023-0007.pdf |
| _version_ | 1797370412514934784 |
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| author | Waroot Pholsawatchai Park Manakul Warisara Lertcheewanan Koopong Siribumrungwoung Thongchai Suntharapa Rattalerk Arunakul |
| author_facet | Waroot Pholsawatchai Park Manakul Warisara Lertcheewanan Koopong Siribumrungwoung Thongchai Suntharapa Rattalerk Arunakul |
| author_sort | Waroot Pholsawatchai |
| collection | DOAJ |
| description | Study Design A prospective longitudinal cohort study. Purpose To evaluate the efficacy of two different techniques of transforaminal epidural steroid injection (TFESI) with contrast and without contrast in treating lumbar radiculopathy. Overview of Literature Epidural injections are one of the most frequently used nonsurgical treatment options for managing lumbar radiculopathy. This study aims to simplify the TFESI technique, which is effective and requires less effort to replicate. Methods We collected data on 118 patients who underwent TFESI without contrast versus TFESI with contrast for lumbar radiculopathy. The pain was evaluated using a Numerical Rating Scale (NRS) for pain at 5 minutes, 2 hours, 2 weeks, and 2 months. The functional status was assessed using the Oswestry Disability Index (ODI) score. The operation time and fluoroscopic dosage were also measured using this score. Results Two groups of patients with radiculopathy were studied, comprising of 56 patients in the non-contrast group (NC group) and 62 patients in the contrast group (C group). There was a significant decrease in pain, as evaluated by NRS, in the C group compared to the NC group at 5 minutes post-procedure (3.39±1.54 vs. 3.86±0.72, with a p-value of 0.039). There was no significant difference in NRS scores at 2 hours, 2 weeks, and 2 months, as well as in ODI scores. The operation time and fluoroscopic dosage were lower in the group without contrast compared to the contrast group, with 12.58±3.30 minutes per level vs. 16.70±5.94 minutes per level (p<0.001) and 3.62±1.66 mGy vs. 5.32±2.74 mGy per level (p=0.014), respectively. No complications were reported in either group. Conclusions There is no difference in pain and functional outcome when treating lumbar radiculopathy with or without contrast using TFESI. The TFESI without contract technique has a shorter operation time and lower intra-operative fluoroscopic dosage without complications. |
| first_indexed | 2024-03-08T18:01:04Z |
| format | Article |
| id | doaj.art-3513b984fbd94f10a0e13e957d389096 |
| institution | Directory Open Access Journal |
| issn | 1976-1902 1976-7846 |
| language | English |
| last_indexed | 2024-03-08T18:01:04Z |
| publishDate | 2023-12-01 |
| publisher | Korean Spine Society |
| record_format | Article |
| series | Asian Spine Journal |
| spelling | doaj.art-3513b984fbd94f10a0e13e957d3890962024-01-02T01:14:20ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462023-12-011761108111610.31616/asj.2023.00071572Comparison of Efficacy between Transforaminal Epidural Steroid Injection Technique without Contrast versus with Contrast in Lumbar Radiculopathy: A Prospective Longitudinal Cohort StudyWaroot Pholsawatchai0Park Manakul1Warisara Lertcheewanan2Koopong Siribumrungwoung3Thongchai Suntharapa4Rattalerk Arunakul5 Chulabhorn International College of Medicine, Thammasat University, Pathumthani, Thailand Department of Orthopaedics, Faculty of Medicine, Thammasat University, Pathumthani, Thailand Department of Orthopaedics, Faculty of Medicine, Thammasat University, Pathumthani, Thailand Chulabhorn International College of Medicine, Thammasat University, Pathumthani, Thailand Department of Orthopaedics, Faculty of Medicine, Thammasat University, Pathumthani, Thailand Department of Orthopaedics, Faculty of Medicine, Thammasat University, Pathumthani, ThailandStudy Design A prospective longitudinal cohort study. Purpose To evaluate the efficacy of two different techniques of transforaminal epidural steroid injection (TFESI) with contrast and without contrast in treating lumbar radiculopathy. Overview of Literature Epidural injections are one of the most frequently used nonsurgical treatment options for managing lumbar radiculopathy. This study aims to simplify the TFESI technique, which is effective and requires less effort to replicate. Methods We collected data on 118 patients who underwent TFESI without contrast versus TFESI with contrast for lumbar radiculopathy. The pain was evaluated using a Numerical Rating Scale (NRS) for pain at 5 minutes, 2 hours, 2 weeks, and 2 months. The functional status was assessed using the Oswestry Disability Index (ODI) score. The operation time and fluoroscopic dosage were also measured using this score. Results Two groups of patients with radiculopathy were studied, comprising of 56 patients in the non-contrast group (NC group) and 62 patients in the contrast group (C group). There was a significant decrease in pain, as evaluated by NRS, in the C group compared to the NC group at 5 minutes post-procedure (3.39±1.54 vs. 3.86±0.72, with a p-value of 0.039). There was no significant difference in NRS scores at 2 hours, 2 weeks, and 2 months, as well as in ODI scores. The operation time and fluoroscopic dosage were lower in the group without contrast compared to the contrast group, with 12.58±3.30 minutes per level vs. 16.70±5.94 minutes per level (p<0.001) and 3.62±1.66 mGy vs. 5.32±2.74 mGy per level (p=0.014), respectively. No complications were reported in either group. Conclusions There is no difference in pain and functional outcome when treating lumbar radiculopathy with or without contrast using TFESI. The TFESI without contract technique has a shorter operation time and lower intra-operative fluoroscopic dosage without complications.http://asianspinejournal.org/upload/pdf/asj-2023-0007.pdfspinal stenosisinjectionradiculopathycontrast media |
| spellingShingle | Waroot Pholsawatchai Park Manakul Warisara Lertcheewanan Koopong Siribumrungwoung Thongchai Suntharapa Rattalerk Arunakul Comparison of Efficacy between Transforaminal Epidural Steroid Injection Technique without Contrast versus with Contrast in Lumbar Radiculopathy: A Prospective Longitudinal Cohort Study Asian Spine Journal spinal stenosis injection radiculopathy contrast media |
| title | Comparison of Efficacy between Transforaminal Epidural Steroid Injection Technique without Contrast versus with Contrast in Lumbar Radiculopathy: A Prospective Longitudinal Cohort Study |
| title_full | Comparison of Efficacy between Transforaminal Epidural Steroid Injection Technique without Contrast versus with Contrast in Lumbar Radiculopathy: A Prospective Longitudinal Cohort Study |
| title_fullStr | Comparison of Efficacy between Transforaminal Epidural Steroid Injection Technique without Contrast versus with Contrast in Lumbar Radiculopathy: A Prospective Longitudinal Cohort Study |
| title_full_unstemmed | Comparison of Efficacy between Transforaminal Epidural Steroid Injection Technique without Contrast versus with Contrast in Lumbar Radiculopathy: A Prospective Longitudinal Cohort Study |
| title_short | Comparison of Efficacy between Transforaminal Epidural Steroid Injection Technique without Contrast versus with Contrast in Lumbar Radiculopathy: A Prospective Longitudinal Cohort Study |
| title_sort | comparison of efficacy between transforaminal epidural steroid injection technique without contrast versus with contrast in lumbar radiculopathy a prospective longitudinal cohort study |
| topic | spinal stenosis injection radiculopathy contrast media |
| url | http://asianspinejournal.org/upload/pdf/asj-2023-0007.pdf |
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