Comparison of Single Lumbar Transforaminal Epidural Steroid Injections for Treatment of Early and Late Recurrent Lumbar Disc Herniation.

IF 0.9 4区医学 Q4 CLINICAL NEUROLOGY Turkish neurosurgery Pub Date : 2024-01-01 DOI:10.5137/1019-5149.JTN.44390-23.2

Utku Adilay, Levent Deniz, Muhammed Fatih Sari, Ahmet Ozdemir, Salim Katar, Bulent Guclu

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Abstract

Aim: To compare the results of fluoroscopically guided transforaminal epidural steroid injection (TESI) for pain reduction in ipsilateral early recurrent lumbar disc herniation (RLDH) with ipsilateral late RLDH.

Material and methods: A total of 738 patients complaining of radicular pain due to ipsilateral early and late RLDH were assessed. Of these, TESI was administered to 390 subjects for ipsilateral early RLDH and 346 for ipsilateral late RLDH. TESIs were performed based on radicular leg pain; all subjects were followed up and reexamined after 12 weeks of the therapy. Pre- and postprocedural visual analog scale (VAS) scores and all complications were recorded for the study.

Results: For radicular pain, the mean pre-, and postprocedural VAS scores for ipsilateral early RLDH were 85.44 ± 6.85 and 20.16 ± 3.77 respectively. For late RLDH, the mean pre-, and postprocedural VAS scores were 72.82 ± 5.12 and 30.87 ± 4.17, respectively. A significant statistical difference for pre- and postprocedural VAS scores were observed between ipsilateral early and late recurrent disc herniation TESI groups (p < 0.05).

Conclusion: TESI was more effective for early RLDH than for late RLDH during the 12-week follow-up period.

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单次腰椎间盘突出症经椎间孔硬膜外类固醇注射治疗早期和晚期复发性腰椎间盘突出症的比较。

目的：本报告旨在比较透视引导下经椎间孔硬膜外类固醇注射（TESI）对同侧早期复发性腰椎间盘突出症（RLDH）和同侧晚期复发性腰椎间盘突出症的止痛效果：纳入了738名因同侧早期和晚期RLDH而主诉根性疼痛的患者。其中 392 名患者接受了同侧早期 RLDH 的 TESI 治疗，346 名患者接受了同侧晚期 RLDH 的治疗。所有受试者均在接受治疗 12 周后再次接受随访和检查。研究记录了治疗前后的视觉模拟量表（VAS）评分和所有并发症：对于根性疼痛，同侧早期 RLDH 术前和术后的平均 VAS 评分分别为 85.44 ± 6.85 和 20.16 ± 3.77。对于晚期 RLDH，手术前后的平均 VAS 评分分别为 72.82 ± 5.12 和 30.87 ± 4.17。同侧早期和晚期复发性椎间盘突出症 TESI 组的术前和术后 VAS 评分有明显的统计学差异（P 0.05）：本研究表明，在 12 周的随访期内，TESI 对早期复发性椎间盘突出症的治疗效果优于晚期复发性椎间盘突出症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Turkish neurosurgery 医学-临床神经学

CiteScore

1.50

自引率

12.50%

发文量

126

审稿时长

2 months

期刊介绍： Turkish Neurosurgery is a peer-reviewed, multidisciplinary, open access and totally free journal directed at an audience of neurosurgery physicians and scientists. The official language of the journal is English. The journal publishes original articles in the form of clinical and basic research. Turkish Neurosurgery will only publish studies that have institutional review board (IRB) approval and have strictly observed an acceptable follow-up period. With the exception of reference presentation, Turkish Neurosurgery requires that all manuscripts be prepared in accordance with the Uniform Requirements for Manuscripts Submitted to Biomedical Journals.