Comparison of Two Methods of Epidural Steroid Injection in the Treatment of Recurrent Lumbar Disc Herniation
Asian Spine Journal
;
: 646-652, 2014.
Article
in English
| WPRIM
| ID: wpr-27064
ABSTRACT
STUDY DESIGN:
Prospective study.PURPOSE:
We compared the effects of two methods of epidural steroid injection in patients with recurrent disc herniation. OVERVIEW OF LITERATURE To our knowledge, there is no previous report of such a comparison in these patients.METHODS:
The study was performed with 30 patients with relapsed lumbar disc herniation whose pain was not relieved by conservative remedies. The patients were divided into two groups, each of 15 patients, and entered the study for caudal or transforaminal injections. The degree of pain, ability to stand and walk, and the Prolo function score were evaluated in both groups before the injection and 2 months and 6 months after the injection.RESULTS:
The degrees of pain reduction in the caudal injection group in the second and sixth months were 0.6 and 1.63, respectively, and in the transforaminal injection group were 1.33 and 1.56, respectively. The difference between the two methods was not statistically significant. Similarly, no other evaluated criterion showed a significant difference between the methods.CONCLUSIONS:
In the current study, the caudal and transforaminal steroid injection methods showed similar outcomes in the treatment of relapsed lumbar disc herniation. However, more detailed patient categorizing may help in finding possible subgroups with differences.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prospective Studies
Type of study:
Observational study
Limits:
Humans
Language:
English
Journal:
Asian Spine Journal
Year:
2014
Type:
Article
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