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Lumbosakral radikülopatili hastalarda epidural kortikosteroid enjeksiyonu

Epidural cortıcosteroıd ınjecûon ın paüents wıth lumbosacral radıculopathy

Journal Name:

  • Selçuk Tıp Dergisi

Publication Year:

  • 2004

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Abstract (2. Language): 
Aim: To evaluate the efficacy of a singie dose epidural corticosteroid injection in the treatment of lumbosacral radıcu¬lopathy secondary to iumbar disc herniation. Methods:We administered singie dose epidural injection of steroid and locai anestetic mixture in 31 patients with radicular pain due to İumbar disc herniations. Outcome was measured using a visual analog scale ranging from 0 to 10; straight leg raising test (SLR) values; a measurement of fınger-to-floor distance; a patient satisfaction scale; and a Roland Morris low back pain questionnaire. Results: Thirty one patients were followed for six weeks. We found signifıcant improvement in ali parameters in patients at second day, second week and 6th. week postinjection (p<0.05}. Conduslons: We concluded that single-shot epidural corticosteroid injec¬tion is effective in the treatment of İumbar radicular pain due to İumbar disc herniations.
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Abstract (Original Language): 
Amaç: Buçalışmada disk herniasyonuna bağlı lumbosakral radikülopatisi olan hastalarda tek doz epidural kortikosteroid enjeksiyonunun etkinliğinin araştırılması amaçlandı. Metot: 31 hastaya epidural enjeksiyon yoluyla tek doz kortikos¬teroid ve lokal anestezik karışımı uygulandı. Tedavi sonuçlan vizüel analog skalası [VASfO-1 OjJ, düz bacak kaldırma (DBKJ, el parmak zemin mesafesi, hasta memnuniyet skalası ve Roland Morris fonksiyonel bel ağrısı değerlendirme skalası ile değerlendirildi. Bulgular: Otuzbir hasta enjeksiyondan sonra altı hafta izlendi. Hastalarda tüm parametre¬lerde 2. gün, 2. hafta ve 6. haftada anlamlı iyileşme bulundu (p<0.05j. Sonuç. Tek doz epidural kortikosteroid enjek¬siyonunun, lomber disk herniasyonuna bağlı lumbosakral radiküler ağrısı olan hastalarda etkili olduğu sonucuna varıldı.
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  • 4
135-139
  • Turkish

REFERENCES

References: 

Bush K, Covvan N. Katz DE, Gishen P. The narural hısro-ry of sciatıca assocıated vvith disc pathology A prospec-tıve study wıth clinical and ındependenr radıologic fol-lovvHjp. Spıne 1992;17:1205-12.
2. Saal JA Saal JS. Nonoperative treatment of herniared İum¬bar intervertebral disc vvith radıculopathy. An outcome study Spine 1989,14:431-7
3 Saal JS. Saal JA Yurth EF. Nonoperative management of herniated cervıcal intervertebral drsc vvith radıculopathy Spine 1996; 21:1877-83.
4. Hakelıus A Prognosıs in scıatica. A clınical follovv-up of surgıca! and non-surgıcal treatment. Açta Orrhop Scand Suppl 1970; 129:76.
5 Saal JS. Franson RC, Dobrow R, Saal JA VThite AH, Goldthvvaıte N High levels of inflammatory phospholı-pase A2 activıty rn İumbar disc herniations. Spine 1990;l5(7):674-8
6 Weber H Lumbar disc herniation A controlled. prospec-tive study vvith ten years of observation. Spine 1983;8:131-40.
7 Franson RC, 1992 Franson RC, Saal JS, Saal JA. Human disc phospholıpase A2 ıs inflammatory. Spine 1992; 17(6 SupplJ.S 129-32.

8. Kang JD. Georgescu Hl, Mclntyre-Larkın L. Stefanovıc-Rac/c M. Evans CH Herniated cervıcal intervertebral dıscs spontaneously produce matrıx metalloproteinases, nıtric oxıde. ınterleukin-6. and prostaglandın E2 Spıne 1995.20:2373-78.
9. Flovver RJ, Blackvvell GJ Antı-ınflammatory steroıds ınduce bıosynthesıs of a phospholıpase A2 ınhibıtor vvhıch prevent5 prostaglandın generatıon Nature 1979;278:456-9.
10. Devor M, Govrın-Lippmann R. Raber P Cort/costeroıds suppress ectopıc neural dıscharge orıgınatıng in experı-menral neuromas. Pain 1985;22:127-37.
I I Oğuz H Bel ağrıları İn: Oğuz H, Dursun E. Dursun N. ed. Tıbbı Rehabilitasyon 2 baskı. İstanbul: Nobel tıp kitabevferi, 2004:1131-71.
12. Weınsteın SM. Hernng SA Lumbar epidural steroid ınjec-rıons. Spine J 2003;3(3 Suppl):37-44.
13. Kepes ER. Duncalf D. Treatment of back ache wıth spınal ınjectıons for local anesthetıcs. spınal and systemıc steroids. A reiew. Pain 1985;22:33-47.
14. Ketenci A Bel ağrılarında fonksiyonel değerlendirme. İn: Özcan E. ed Bel Ağrısı Tanı ve Tedavisi İstanbul: Nobel Kıtabevı. 2002:73-89.

15. Hellivvell M. RobertsonJC. Ellis RM. Outpatıent treatment of low back pain and sciatica by a Singie extradural corti¬costeroid injection, BrJ Qtn Practice 1985;39:228-3 I.
16. Dilke TWF, Burry HC, Grahame R, Extradural corticos-teroid injection in the management of lumbar nevre root compression. BrMedJ 1973;2:635-7.
17. Carette S. Leclaire R, Marcoux S. Morin F, Blaise GA Şt-Pierre A et al. Epidural corticosteroid injections for sciati¬ca due to herniated nucleus pulposus. N Engl J Med 1997;336:1634-40.
18. Snoek W, Weber, Jorgensen B. Double blind evaluation of extradural methylprednisolone for herniated lumbar disc Açta Orthop Scand 1977;48:635-41.
19. Weiner BK, Fraser RD. Foraminal injection for lateral lum¬bar disc herniation. J Bone JointSurg Br. 1997,79:804-7.
20. Lutz GE, Vad VB, Wisneski RJ Fluoroscopic transforami¬nal lumbar epidural steroids: an cutcome study. Arch Phys Med Rehabil 1998;79:1362-6
21. Vad VB, Bhat AL, Lutz GE, Cammisa F. Transforaminal epidural steroid injections in lumbosacral radiculopathy: a prospective randomized study. Spine 2002;27:1 1-6.
22. Riew KD, Yin Y, Gilula U Bridvvell KH. Lenke LG, Lauıyssen C, et al. The effecr of nerve-root injections on the need for operative treatment of lumbar radicular pain. A prospective, randomized. controlled, double-blind study. J BoneJoint Surg Am 2000;82A: 1589-93.

23. Buchner M. Zeifang F, Brccai DR, Schiltenvvolf M.Epidural corticosteroid injection in the conservative managemen: of sciatica. Clin Orthop 2000;375:149-56.
24. Karppınen J, Malmivaara A Kurunlahti M, Kyllonen E, Pienimakı T, Nieminen P, et al. Perıradicular infiltration for sciatica: a randomized controlled trial. Spıne 2001,26:1059-67.
25. Benzon HT. Epidural steroid injections for lovv back pain and lumbosacral radiculopathy. Pain 1986.24:277-95.
26. Özerbil ÖM. Yosunkaya A Duman A Tuncer S, Küçükşen S, Bayram A. Lomber disk hernilki hastalarda epidural steroid uygulanımı. Ege FizTıp Reh Derg 1997;3:151-5.
27. Renfrevv DL. Moore TE. kathol MH. el-Khoury GY. Lemke JH, Walker CW. Correct placement of epidural steroid injections: fluoroscopic guidance and contrast admınis-tration. Am J Neuroradıol 1991; 1 2:1003-7.
28. Mehta M. Salmon N. Extradural block. Confirmation of the injection site by X-ray monitoring. Anaesthesıa 1985;40:1009-12
29. Price CM Price CM, Rogers PD. Prosser AS. Arden NK. Comparison of the caudal and lumbar approaches to the epidural space. Ann Rheum Dis 2000;59:879-82.
30. Slipman CW. Chow DW. Therapeutic spinal corticosteroid injections for the management of radiculopathies. Phys Med Rehabil Clin N Am 2007; 13:697-711.

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