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THE EFFECTIVENESS OF CT-GUIDED EPIDURAL STEROID INJECTIONS FOR LOW BACK PAIN DUE TO LUMBAR DISC HERNIATION
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Abstract
Objects: Evaluating the effectiveness of epidural injection with corticoid under computed tomography guidance for treatment of low back paindue to disc herniation. Subjects and methods:36 patients with low back pain due to disc herniation were CT – guided epidural injectedat the Interventional radiology department, 103 Military Hospitalfrom October 2019 to September 2020. All patients were evaluated by using VAS and ODI scores. Comparison of VAS and DOI scores pre –and 1 month post – injection were proceeded by t – test and chi square – test. Results: VAS score decreased from 6.11 ± 0.89 points before injection to 2.47 ± 1.13 points 1 month post – injection. ODI decreased from 64.67 ± 10 points before injection to 24.89 ± 15.43 points 1 month post – injection. The differences were significant. There were no complications. Conclusion: CT – guided epidural spinal injectionis a safe and effective procedure for treatmentof low back pain due to disc herniation.
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Keywords
Low back pain, epidural spinal injection, visual analog scale, Oswestry disability index
References
2. Lê Năng Hà Chưởng (2019). Nghiên cứu hiệu quả giảm đau của kĩ thuật tiêm thẩm phân ngoài màng cứng vùng thắt lưng dưới hướng dẫn cắt lớp vi tính. Luận văn Cao học, Đại học Y Hà Nội.
3. Vi Thị Hải (2014). Đánh giá hiệu quả tiêm ngoài màng cứng qua khe liên đốt L4 - L5 bằng hydrocortisone acetat trong điều trị đau dây thần kinh tọa do thoát vị đĩa đệm. Luận văn Cao học, Đại học Y Hà Nội.
4. Arden NK, Price C, Reading I, et al. (2005). A multicentre randomized controlled trial of epidural corticosteroid injections for sciatica: the WEST study. Rheumatology (Oxford), 44(11), 1399-1406.
5. Botwin KP, Gruber RD, Bouchlas CG,et al. (2002). Fluoroscopically guided lumbar transformational epidural steroid injections in degenerative lumbar stenosis: an outcome study. Am J Phys Med Rehabil, 81(12), 898-905.
6. Epstein NE (2017). Neurological complications of lumbar and cervical dural punctures with a focus on epidural injections.Surg Neurol Int,8(1),60.
7. Gruenberg MF, Petracchi M, Valacco M, et al. (2011). Use of CT-guided periradicular injection for the treatment of foraminal and extraforaminal disc herniations. Evid Based Spine Care J, 2(3), 19-24.
8. Jeong YC, Lee CH, Kang S,et al. (2017). Contrast spread in the superoposterior approach of transforaminal epidural steroid injections for lumbosacral radiculopathy. Ann Rehabil Med, 41(3), 413-420.