Please use this identifier to cite or link to this item:
http://hdl.handle.net/11547/11134
Title: | 309 patients treated with fluoroscopy-guided caudal epidural injection for lumbar disc herniation |
Authors: | Aksan, Ozgur |
Keywords: | ROUTES |
Issue Date: | 2022 |
Series/Report no.: | 60;10 |
Abstract: | Objective: To present our experience, discuss the complications, and assess early vs long-term outcomes of fluoroscopy-guided caudal epidural injection for lumbar disc herniation (LDH). Methods: This was a prospective study of 309 patients who underwent fluoroscopy-guided caudal epidural injection from 2014 to 2020. The inclusion criteria were LDH diagnosis by magnetic resonance imaging, surgical treatment not required, age >18 years, and history of low back or leg pain despite >6 weeks of treatment comprising a combination of analgesics, anti-inflammatories, and physical therapy. The epidural injection solution comprised 8 mL of 0.5% bupivacaine hydrochloride (HCL), 2 mL dexamethasone, and 10 mL saline. Each patient completed a questionnaire comprising a visual analog scale (VAS) and the Back Pain Functional Scale (BPFS) at baseline, and 1 month and 1 year after injection. Results: The VAS and BPFS scores indicated significantly less pain at 1 month and 1 year compared with the pre-procedure baseline values. Complications developed in 11 patients (reversible paresis in 7 patients, arrhythmia in 1 patient, headache in 1 patient, seizure in 1 patient, spondylodiscitis in 1 patient). Conclusions: Fluoroscopy-guided caudal epidural injection for LDH is safe, and the procedure reduced pain and improved functional capacity compared with baseline. |
URI: | http://hdl.handle.net/11547/11134 |
ISSN: | 0300-0605 1473-2300 |
Appears in Collections: | Web Of Science |
Files in This Item:
File | Description | Size | Format | |
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aksan-2022-309-patients-treated-with-fluoroscopy-guided-caudal-epidural-injection-for-lumbar-disc-herniation.pdf | 365.83 kB | Adobe PDF | View/Open |
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