Evaluation of the clinical efficiency of transforaminal epidural steroid injection in the treatment of sciatica
Objective: Evaluation of clinical efficiancy of fluoroscopy-accompanied transforaminal epidural steroid injection in patients with symptomatic lumbar foraminal intervertebral disc herniation and foraminal stenosis. Methods: Fifty patients, who underwent fluoroscopic-guided epidural steroid injection...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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London Academic Publishing
2015-12-01
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| Series: | Romanian Neurosurgery |
| Subjects: | |
| Online Access: | https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/860 |
| _version_ | 1828780324854693888 |
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| author | Zafer Gündoğdu İbrahim Burak Atcı Serdal Albayrak Hakan Yılmaz Aykut Urfalıoğlu |
| author_facet | Zafer Gündoğdu İbrahim Burak Atcı Serdal Albayrak Hakan Yılmaz Aykut Urfalıoğlu |
| author_sort | Zafer Gündoğdu |
| collection | DOAJ |
| description | Objective: Evaluation of clinical efficiancy of fluoroscopy-accompanied transforaminal epidural steroid injection in patients with symptomatic lumbar foraminal intervertebral disc herniation and foraminal stenosis. Methods: Fifty patients, who underwent fluoroscopic-guided epidural steroid injection between 19.12.2013 - 28.02.2014, were evaluated retrospectively. Pain levels of patients before the procedure, after 3 weeks and after 6 months were compared using visuel analog scale (VAS). Fifty percent or more decrease, less than 50% decrease and no change in VAS were evaluated as sufficient response, insufficient response and unresponsiveness, respectively. The patients were asked whether they would undergo this process again and “Yes”, “Maybe” and “No” answers were evaluated for patient satisfaction score. Results: In 50 patients (32 female, 18 male), average pain levels were found to be 8.4 (VAS 7-9), 4.3 (VAS 1-9) and 4.4 (VAS 0-9) before the procedure, 3 weeks after the procedure and 6 months after the procedure, respectively. While thirty-seven (74%) of the patients were found to have sufficient response to treatment 3 weeks after the procedure, 10 (20%) patients were found to have insufficient response. There was no response to treatment in 3 (6%) patients. While thirty-five (70%) of the patients were found to have sufficient response to treatment 6 months after the procedure, 10 (20%) patients were found to have insufficient response. Six months after the procedure, there was no response to treatment in 5 patients (%10). Statistically significant improvement was observed when the pre and post-procedure VAS scores were compared. Forty (80%) patients gave the answer “Yes” to the question whether they would undergo this procedure again. Conclusion: We found that fluoroscopic guided transforaminal epidural steroid injection is effective in pain relief in patients with lumbar foraminal intervertebral disc herniation and foraminal stenosis that are resistant to pharmacological and physical therapy and have no absolute indication for surgery. |
| first_indexed | 2024-12-11T17:15:13Z |
| format | Article |
| id | doaj.art-3f422115187b418c965e1b9f603ef723 |
| institution | Directory Open Access Journal |
| issn | 1220-8841 2344-4959 |
| language | English |
| last_indexed | 2024-12-11T17:15:13Z |
| publishDate | 2015-12-01 |
| publisher | London Academic Publishing |
| record_format | Article |
| series | Romanian Neurosurgery |
| spelling | doaj.art-3f422115187b418c965e1b9f603ef7232022-12-22T00:57:21ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592015-12-01294Evaluation of the clinical efficiency of transforaminal epidural steroid injection in the treatment of sciaticaZafer Gündoğduİbrahim Burak AtcıSerdal AlbayrakHakan YılmazAykut UrfalıoğluObjective: Evaluation of clinical efficiancy of fluoroscopy-accompanied transforaminal epidural steroid injection in patients with symptomatic lumbar foraminal intervertebral disc herniation and foraminal stenosis. Methods: Fifty patients, who underwent fluoroscopic-guided epidural steroid injection between 19.12.2013 - 28.02.2014, were evaluated retrospectively. Pain levels of patients before the procedure, after 3 weeks and after 6 months were compared using visuel analog scale (VAS). Fifty percent or more decrease, less than 50% decrease and no change in VAS were evaluated as sufficient response, insufficient response and unresponsiveness, respectively. The patients were asked whether they would undergo this process again and “Yes”, “Maybe” and “No” answers were evaluated for patient satisfaction score. Results: In 50 patients (32 female, 18 male), average pain levels were found to be 8.4 (VAS 7-9), 4.3 (VAS 1-9) and 4.4 (VAS 0-9) before the procedure, 3 weeks after the procedure and 6 months after the procedure, respectively. While thirty-seven (74%) of the patients were found to have sufficient response to treatment 3 weeks after the procedure, 10 (20%) patients were found to have insufficient response. There was no response to treatment in 3 (6%) patients. While thirty-five (70%) of the patients were found to have sufficient response to treatment 6 months after the procedure, 10 (20%) patients were found to have insufficient response. Six months after the procedure, there was no response to treatment in 5 patients (%10). Statistically significant improvement was observed when the pre and post-procedure VAS scores were compared. Forty (80%) patients gave the answer “Yes” to the question whether they would undergo this procedure again. Conclusion: We found that fluoroscopic guided transforaminal epidural steroid injection is effective in pain relief in patients with lumbar foraminal intervertebral disc herniation and foraminal stenosis that are resistant to pharmacological and physical therapy and have no absolute indication for surgery.https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/860Epidural steroid injectionlumbar disc herniationtransforaminal epidural steroid |
| spellingShingle | Zafer Gündoğdu İbrahim Burak Atcı Serdal Albayrak Hakan Yılmaz Aykut Urfalıoğlu Evaluation of the clinical efficiency of transforaminal epidural steroid injection in the treatment of sciatica Romanian Neurosurgery Epidural steroid injection lumbar disc herniation transforaminal epidural steroid |
| title | Evaluation of the clinical efficiency of transforaminal epidural steroid injection in the treatment of sciatica |
| title_full | Evaluation of the clinical efficiency of transforaminal epidural steroid injection in the treatment of sciatica |
| title_fullStr | Evaluation of the clinical efficiency of transforaminal epidural steroid injection in the treatment of sciatica |
| title_full_unstemmed | Evaluation of the clinical efficiency of transforaminal epidural steroid injection in the treatment of sciatica |
| title_short | Evaluation of the clinical efficiency of transforaminal epidural steroid injection in the treatment of sciatica |
| title_sort | evaluation of the clinical efficiency of transforaminal epidural steroid injection in the treatment of sciatica |
| topic | Epidural steroid injection lumbar disc herniation transforaminal epidural steroid |
| url | https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/860 |
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