Transforaminal epidural steroid injection combined with radio frequency for the treatment of lumbar disc herniation: a 2-year follow-up

BMC Musculoskeletal Disorders

Ling Wei¹  Tian Liu²  Jue Wang²  Sha-Jie Dang³  Wen-Bo Wei⁴ 

[1] Department of Pain, YangLing Demonstration Zone Hospital, Yangling, Shaanxi, China;The Key Laboratory of Biomedical Information Engineering of Ministry of Education, The Key Laboratory of Neuro-informatics & Rehabilitation Engineering of Ministry of Civil Affairs, and Institute of Health and Rehabilitation Science, School of Life Science and Technology, Xi’an Jiaotong University, 710049, Xi’an, P. R. China;National Engineering Research Center of Health Care and Medical Devices, Guangzhou, China;The Key Laboratory of Biomedical Information Engineering of Ministry of Education, The Key Laboratory of Neuro-informatics & Rehabilitation Engineering of Ministry of Civil Affairs, and Institute of Health and Rehabilitation Science, School of Life Science and Technology, Xi’an Jiaotong University, 710049, Xi’an, P. R. China;National Engineering Research Center of Health Care and Medical Devices, Guangzhou, China;Department of Anesthesia, Shaanxi Provincial Cancer Hospital, Xi’an, Shaanxi, China;The Key Laboratory of Biomedical Information Engineering of Ministry of Education, The Key Laboratory of Neuro-informatics & Rehabilitation Engineering of Ministry of Civil Affairs, and Institute of Health and Rehabilitation Science, School of Life Science and Technology, Xi’an Jiaotong University, 710049, Xi’an, P. R. China;National Engineering Research Center of Health Care and Medical Devices, Guangzhou, China;Department of orthopedics, Shaanxi Provincial people’s Hospital, Xi’an, Shaanxi, China;

关键词: Transforaminal epidural steroid injection;    Radio frequency;    Lumbar disc herniation;   

DOI  :  10.1186/s12891-021-04209-5

来源: Springer

【 摘 要 】

BackgroundTo assess the therapeutic efficacy of transforaminal epidural steroid injection (TFESI) combined with radio frequency (RF) for the treatment of lumbar disc herniation (LDH).MethodsA total of 230 patients participated in the study: TFESI (Group T, n = 110), TFESI combined with RF (Group TR, n = 120). Visual analogue scale (VAS), Oswestry disability index (ODI) and Global perceived effect (GPE) scale were measured pre-operation, 1, 3, 6, 12 and 24 months after the operation. Hospitalization time, treatment time, complications, and recurrence were compared between the two groups.ResultsThe VAS and ODI at each observation point of the post-operation were significantly decreased compared with the pre-operation in both groups (P < 0.05). There was no statistically difference of VAS and ODI between the two groups at 1 and 3 months of the post-operation (P > 0.05). However, The VAS and ODI scores in Group TR were significantly lower than that in Group T at 6, 12 and 24 months of the post-operation (P < 0.05). The GPE in group TR was high in the early days, while that at 1 and 3 months after treatment was significantly higher than that in group T (P < 0.05). The recurrence rate in Group TR was lower than that in Group T (P = 0.002). There was no significant difference in hospitalization time, complications, VAS and ODI score at the pre-operation between the two groups (P > 0.05).ConclusionThese findings suggest that TFESI combined with RF could effectively improve the pain and function, and had a long-term satisfactory effect for the treatment of LDH.

【 授权许可】

CC BY