TRANSFORAMINAL EPIDURAL INJECTION IN FAILED BACK SURGERY AFTER UBE
Journal of Turkish Spinal Surgery, cilt.36, sa.4, ss.181-184, 2025 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 36 Sayı: 4
- Basım Tarihi: 2025
- Doi Numarası: 10.4274/jtss.galenos.2025.09326
- Dergi Adı: Journal of Turkish Spinal Surgery
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.181-184
- Anahtar Kelimeler: biportal endoscopy, Failed back surgery syndrome, lumbar disc herniation, transforaminal injection
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: To evaluate the effectiveness of transforaminal epidural steroid injection (TFESI) in patients with failed back surgery syndrome (FBSS) after unilateral biportal endoscopic (UBE) lumbar discectomy. Materials and Methods: Between 2022 and 2024, 14 patients who underwent single-level UBE discectomy and continued to suffer from radicular pain were included. Patients without motor deficit or obvious recurrent/residual disc herniation were treated with TFESI. Pain relief was evaluated using the visual analog scale (VAS) and the MacNab criteria. Results: Mean pre-procedure VAS score for leg pain was 6.14±1.35, which significantly decreased to 2.64±1.75 at the 6th week follow-up (p<0.0001). According to the MacNab criteria, 78.4% of patients reported “good” or “excellent” outcomes. Conclusion: Transforaminal epidural injection appears to be a safe and effective option in managing FBSS after UBE. More comprehensive prospective randomized studies need to be conducted.