309 patients treated with fluoroscopy-guided caudal epidural injection for lumbar disc herniation
Objective To present our experience, discuss the complications, and assess early vs long-term outcomes of fluoroscopy-guided caudal epidural injection for lumbar disc herniation (LDH). Methods This was a prospective study of 309 patients who underwent fluoroscopy-guided caudal epidural injection fro...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2022-10-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605221129031 |
| _version_ | 1798019710940348416 |
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| author | Özgür Akşan |
| author_facet | Özgür Akşan |
| author_sort | Özgür Akşan |
| collection | DOAJ |
| description | Objective To present our experience, discuss the complications, and assess early vs long-term outcomes of fluoroscopy-guided caudal epidural injection for lumbar disc herniation (LDH). Methods This was a prospective study of 309 patients who underwent fluoroscopy-guided caudal epidural injection from 2014 to 2020. The inclusion criteria were LDH diagnosis by magnetic resonance imaging, surgical treatment not required, age >18 years, and history of low back or leg pain despite >6 weeks of treatment comprising a combination of analgesics, anti-inflammatories, and physical therapy. The epidural injection solution comprised 8 mL of 0.5% bupivacaine hydrochloride (HCL), 2 mL dexamethasone, and 10 mL saline. Each patient completed a questionnaire comprising a visual analog scale (VAS) and the Back Pain Functional Scale (BPFS) at baseline, and 1 month and 1 year after injection. Results The VAS and BPFS scores indicated significantly less pain at 1 month and 1 year compared with the pre-procedure baseline values. Complications developed in 11 patients (reversible paresis in 7 patients, arrhythmia in 1 patient, headache in 1 patient, seizure in 1 patient, spondylodiscitis in 1 patient). Conclusions Fluoroscopy-guided caudal epidural injection for LDH is safe, and the procedure reduced pain and improved functional capacity compared with baseline. |
| first_indexed | 2024-04-11T16:45:19Z |
| format | Article |
| id | doaj.art-9aa1f5fdee084125a9c21099e761223f |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-04-11T16:45:19Z |
| publishDate | 2022-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-9aa1f5fdee084125a9c21099e761223f2022-12-22T04:13:35ZengSAGE PublishingJournal of International Medical Research1473-23002022-10-015010.1177/03000605221129031309 patients treated with fluoroscopy-guided caudal epidural injection for lumbar disc herniationÖzgür AkşanObjective To present our experience, discuss the complications, and assess early vs long-term outcomes of fluoroscopy-guided caudal epidural injection for lumbar disc herniation (LDH). Methods This was a prospective study of 309 patients who underwent fluoroscopy-guided caudal epidural injection from 2014 to 2020. The inclusion criteria were LDH diagnosis by magnetic resonance imaging, surgical treatment not required, age >18 years, and history of low back or leg pain despite >6 weeks of treatment comprising a combination of analgesics, anti-inflammatories, and physical therapy. The epidural injection solution comprised 8 mL of 0.5% bupivacaine hydrochloride (HCL), 2 mL dexamethasone, and 10 mL saline. Each patient completed a questionnaire comprising a visual analog scale (VAS) and the Back Pain Functional Scale (BPFS) at baseline, and 1 month and 1 year after injection. Results The VAS and BPFS scores indicated significantly less pain at 1 month and 1 year compared with the pre-procedure baseline values. Complications developed in 11 patients (reversible paresis in 7 patients, arrhythmia in 1 patient, headache in 1 patient, seizure in 1 patient, spondylodiscitis in 1 patient). Conclusions Fluoroscopy-guided caudal epidural injection for LDH is safe, and the procedure reduced pain and improved functional capacity compared with baseline.https://doi.org/10.1177/03000605221129031 |
| spellingShingle | Özgür Akşan 309 patients treated with fluoroscopy-guided caudal epidural injection for lumbar disc herniation Journal of International Medical Research |
| title | 309 patients treated with fluoroscopy-guided caudal epidural injection for lumbar disc herniation |
| title_full | 309 patients treated with fluoroscopy-guided caudal epidural injection for lumbar disc herniation |
| title_fullStr | 309 patients treated with fluoroscopy-guided caudal epidural injection for lumbar disc herniation |
| title_full_unstemmed | 309 patients treated with fluoroscopy-guided caudal epidural injection for lumbar disc herniation |
| title_short | 309 patients treated with fluoroscopy-guided caudal epidural injection for lumbar disc herniation |
| title_sort | 309 patients treated with fluoroscopy guided caudal epidural injection for lumbar disc herniation |
| url | https://doi.org/10.1177/03000605221129031 |
| work_keys_str_mv | AT ozguraksan 309patientstreatedwithfluoroscopyguidedcaudalepiduralinjectionforlumbardischerniation |