Single-shot epidural injections in the management of radicular pain

Orthopedic Reviews

Kourosh Zarghooni¹  Jan Siewe¹  Peer Eysel¹  Jan Bredow¹  Ali Rashidi¹  Max J. Scheyerer¹  Marc Röllinghoff² 

[1] Centre for Orthopedic and Trauma Surgery, University Medical Centre, Cologne;Centre for Orthopedic, University Medical Centre, Halle;

关键词: Epidural injection;    local anesthetic;    low back pain;    lower extremity pain;    radiculopathy;    spinal pain;    steroids;   

DOI  :  10.4081/or.2015.5985

来源: DOAJ

【 摘 要 】

Epidural injections are commonly used in the treatment of chronic low back pain due to symptomatic lumbar spinal disorders. The aim of the present investigation was to study their therapeutic value for different age subgroups. A consecutive series of 356 patients were treated with at least one injection, and assessed before and after injection. Significant pain reduction was observed in all age groups following a series of injections with the greatest reduction after the first one. Especially in patients younger than 50 years, pain medication could be reduced substantially. Surgery was performed in 19.4% of patients (n=69) following a series of SSPDA injections. In the current study, interlaminar steroid injections for treatment of chronic low back and radicular pain caused sufficient improvement and significant reduction of medication especially in younger patients.

【 授权许可】

Unknown