Transforaminal Epidural Injections in Neurosurgical Clinical Practice: A Single Surgeon’s Experience Nöroşirürji Klinik Pratiğinde Transforaminal Epidural Enjeksiyon Uygulamaları; Tek Cerrah Deneyimi
Medical Journal of Bakirkoy, cilt.19, sa.3, ss.319-323, 2023 (ESCI, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 19 Sayı: 3
- Basım Tarihi: 2023
- Doi Numarası: 10.4274/bmj.galenos.2023.2023.5-13
- Dergi Adı: Medical Journal of Bakirkoy
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL
- Sayfa Sayıları: ss.319-323
- Anahtar Kelimeler: Transforaminal epidural injection, pain, disk herniation, spinal
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: The aim of this study was to retrospectively evaluate the success of transforaminal epidural injection (TFEI) in pain control among patients who presented with radicular pain based on a single surgeon’s experience. Methods: A total of 134 patients who presented to the Neurosurgery Clinic of Haydarpaşa Numune Training and Research Hospital, University of Health Sciences Türkiye between 2021 and 2022 and underwent TFEI procedures by the same surgeon were retrospectively evaluated. Patients were analyzed according to age, gender, Verbal Pain scale (VPS) values before and 5-7 days after the procedure, primary pathology, number of repetitions, history of spinal surgery before the procedure, and whether surgery was necessary after the procedure. Results: The mean VPS evaluated before the procedure was 9.04 (10-6) among all patients. The mean VPS value was 3.48 (8-1) in the follow-up on the 5th-7th days after the procedure. Among the patients, 11 (8.2%) underwent surgery because pain control was not achieved. Two of these patients had spinal stenosis and nine had disk herniation. Conclusion: TFEI is a successful method for ensuring pain management in suitable patients. It should be considered for lumbar radicular pain management in patients with different pathologies in the clinical practice of neurosurgery.