EVALUATE THE EFFICACY OF LUMBAR STEROID EPIDURAL INJECTION IN MANAGEMENT OF CHRONIC LUMBOSACRAL RADICULOPATHY

Trung Kiên Trần, Thành Toàn Võ , Vĩnh Tiến Lưu, Chí Nguyễn Nguyễn, Minh Dương Nguyễn

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Abstract

Objective: to evaluate the efficacy of lumbar steroid epidural injection in management of  chronic lumbosacral radiculopathy. Subjects and methods: a non-randomized interventional study was conducted on patients with chronic lumbosacral radiculopathy treated with lumbar epidural steroid injection at Thong Nhat hospital, Ho Chi Minh City, from 06/2023 to 01/2024. Results: the Visual Analog Scale (VAS) score at 1 week, 1 month, and 3 months post-intervention was 4.3 ± 0.78; 3.2 ± 0.9; and 3.2 ± 0.9, respectively, which was significantly lower compared to the pre-intervention VAS score of 7.3 ± 0.3 (p<0.05). One case of transient radicular exacerbation was noted. Conclusion: the application of lumbar epidural steroid injection showed promising results in efficacy and safety.

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References

Kalichman L, Suri P, Guermazi A, et al (2009). Facet orientation and tropism: Associations with facet joint osteoarthritis and degenerative spondylolisthesis. Spine (Phila Pa 1976):34(16): 579-585.
2. Leclaire R, Fortin L, Lambert R, et al (2001). Radiofrequency facet joint denervation in the treatment of low back pain: A placebo-controlled clinical trial to assess efficacy. Spine (Phila Pa 1976) 26(13): 1411-1416; discussion 1417.
3. Martin WJ, Ashton-James CE, Skorpil NE, et al (2013). What constitutes a clinically important pain reduction in patients after third molar surgery? Pain Research & Management, 18(6): 319-322.
4. Nath S, Nath CA, Pettersson K (2008). Percutaneous lumbar zygapophysial (Facet) joint neurotomy using radiofrequency current, in the management of chronic low back pain: A randomized double-blind trial. Spine (Phila Pa 1976) 33(12): 1291-1297.
5. Ghaly RF, Zouki T, Pynadath A, et al (2018). Transforaminal epidural steroid injection can result in further neurological injury in a patient with severe foraminal stenosis and nerve impingement. Surg Neurol Int 9:159.
6. Vanneste T, Van Lantschoot A, Van Boxem K, et al (2017). Pulsed radiofrequency in chronic pain. Current opinion in anaesthesiology 30(5): 577-582.
7. Ameet S. Nagpal, To Nhu Vu, Benjamin Gill, et al (2022). Systematic review of the effectiveness of caudal epidural steroid injections in the treatment of chronic low back or radicular pain.
8. Caraköse Çalışkan D, Akesen S, Türker YG, et al (2021). The effect of combined pulsed radiofrequency treatment to dorsal root ganglion with transforaminal epidural steroid injection on pain. Agri: Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology 33(4): 223-231.