COMPARISON OF THE EFFECTIVENESS OF TRANSFORAMINAL EPIDURAL STEROID INJECTION ALONE WITH THAT OF COMBINED TRANSFORAMINAL AND CAUDAL EPIDURAL STEROID INJECTION IN MULTI-LEVEL LUMBAR DISC DISEASE
Journal of Turkish Spinal Surgery, cilt.31, sa.3, ss.154-159, 2020 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 31 Sayı: 3
- Basım Tarihi: 2020
- Doi Numarası: 10.4274/jtss.galenos.2020.195
- Dergi Adı: Journal of Turkish Spinal Surgery
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.154-159
- Anahtar Kelimeler: caudal, epidural steroid injection, lumbar, Multi-level disc disease, transforaminal
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: This study compared the effectiveness of transforaminal epidural steroid injection (TFESI) alone with that of combined transforaminal and caudal epidural steroid injection (CESI) in multi-level lumbar disc disease, which does not require surgery and does not respond to conservative treatment. Materials and Methods: A total of 99 patients, who were administered TFESI alone or in combination with CESI for radicular pain between November 2018 and August 2019, were analysed retrospectively. Results: The visual analogue scale (VAS) and the Oswestry Disability index (ODI) scores of the patients were evaluated in the pre-injection and post-injection periods in the 3rd week, 3rd month and 6th month. Both the ODI and VAS scores were significantly lower in the early and late post-injection periods than in the pre-injection period in both groups. Combined TFESI and CESI for multi-level lumbar disc disease provided significant improvement in pain management and functional capacity compared with TFESI alone. Conclusion: Combined transforaminal and CESIs should be considered in patients with multi-level lumbar disc disease, which is difficult to manage.