Effect of High-Volume Epidural Steroid Injection on Pain Score and Neck Disability Index in the Treatment of Cervical Radicular Pain: A Retrospective Analysis Servikal Radiküler Aǧri Tedavisinde Yüksek Volümlü Epidural Steroid Enjeksiyonunun Aǧri Skoru ve Boyun Dizabilite Indeksi Üzerine Etkisi: Retrospektif Bir Analiz
Anestezi Dergisi, cilt.33, sa.1, ss.11-15, 2025 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 33 Sayı: 1
- Basım Tarihi: 2025
- Doi Numarası: 10.54875/jarss.2025.73792
- Dergi Adı: Anestezi Dergisi
- Derginin Tarandığı İndeksler: Scopus, Central & Eastern European Academic Source (CEEAS), EMBASE, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.11-15
- Anahtar Kelimeler: disc herniation, Epidural injections, neck pain, radiculopathy
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Cervical radicular pain resulting from disc herniation significantly affects patient's quality of life. Cervical interlaminar epidural steroid injections (CILESIs) are a common treatment for patients who are unresponsive to conservative therapies. This study aimed to evaluate the effectiveness of high-volume (8 mL) CILESIs in treating pain and neck disability. Method: This retrospective study included patients treated with high-volume CILESIs from January 2021 to January 2024 who had cervical disc herniation unresponsive to conservative treatment. Patients with low-volume treatments, previous cervical surgeries and interventions were excluded. Pain intensity was measured using a numeric rating scale (NRS), and disability was assessed using the neck disability index (NDI) before treatment and at 1 week, 1 month, and 6 months after treatment. Results: Of 146 patients who fulfilled the inclusion criteria, 132 were included in the study. The mean age was 49.38 ± 5.68 years. The NRS scores significantly reduced from 7.64 ± 0.62 at pre-treatment to 2.62 ± 0.99 at 6 months post-treatment (p<0.001). The NDI scores also significantly decreased from 49.27 ± 5.65 at pre-treatment to 15.15 ± 5.02 at 6 months post-treatment (p<0.001). No acute or chronic complications occurred. Conclusion: High-volume CILESIs significantly reduced pain and improved neck disability for up to 6 months in patients with cervical radicular pain, and no acute or chronic complications were observed. It is an effective treatment method that can be performed safely.