Transforaminal epidural steroid injection for recurrent lumbar disc herniation

Transforaminal epidural steroid injection for recurrent lumbar disc herniation

Aim: Transforaminal epidural steroid injection reduces the low back-leg pain which caused by lumbar disc herniation (LDH). The aimof our study is to evaluate the treatment of transforaminal epidural steroid injection for recurrent LDH.Materials and Methods: 19 patients were included in our study who were treated by transforaminal epidural steroid injection forrecurrent LDH in our clinic between 2014 and 2018. We evaluated the patients pre-procedure and at 2 weeks, 3 and 6 months aftertreatment by Visual Analogue Scale / Oswestry Disability Index (ODI) and followed up for surgical treatment after 6 months.Results: The mean low back and leg pain VAS was 4.2±0.6 before TFESI procedure and it was 1.9±0.3 after two weeks. İt was 2.1±0.3,3.6±0.8 at 3 and 6 months after procedure respectively. The reduction of low back and leg pain mean VAS is statistically significantbetween before treatment and at 2 weeks and at 3 months after TFESI procedure respectively (p

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  • 1. Friedly J, Nishio I, Bishop MJ, et al. The relationship between repeated epidural steroid injections and subsequent opioid use and lumbar surgery. Arch Phys Med Rehabil 2008;89:1011-5.
  • 2. Krych AJ, Richman D, Drakos M, et al. Epidural steroid injection for lumbar disc herniation in NFL athletes. Med Sci Sports Exerc 2012;44:193-8.
  • 3. Abdi S, Datta S, Trescot AM, et al. Epidural steroids in the management of chronic spinal pain: a systematic review. Pain Physician 2007;10:185-212.
  • 4. Atcheson SG, Dymeck T. Rapid resolution of chronic sciatica with intravenous infliximab after failed epidural steroid injections. Spine (Phila Pa 1976) 2004;29:248-50.
  • 5. MacVicar, J, King, W, Landers, M. H, et al. The effectiveness of lumbar transforaminal injection of steroids: a comprehensive review with systematic analysis of the published data. Pain Med Malden Mass 2013;14:14-28.
  • 6. Kennedy DJ, Plastaras C, Casey E, et al. Comparative effectiveness of lumbar transforaminal epidural steroid injections with particulate versus nonparticulate corticosteroids for lumbar radicular pain due to intervertebral disc herniation: a prospective, randomized, double-blind trial. Pain Med. Malden Mass 2014;15:548-55.
  • 7. Ghahreman, A., Ferch, R. & Bogduk, N. The efficacy of transforaminal injection of steroids for the treatment of lumbar radicular pain. Pain Med. Malden Mass 2010;11:1149-68.
  • 8. Chou R, Hashimoto R, Friedly J, et al. Epidural Corticosteroid Injections for Radiculopathy and Spinal Stenosis: A Systematic Review and Meta-analysis. Ann Intern Med 2015;163:373.
  • 9. Chen Z, Zhao J, Liu A, et al. Surgical treatment of recurrent lumbar disc herniation by transforaminal lumbar interbody fusion. Int Orthop 2009;33:197-201.
  • 10. Manchikanti L. Transforaminal lumbar epidural steroid injection. Pain Physician 2000;3:374-98.
  • 11. Murphy RW. Nerve roots and spinal nerves in degenerative disc disease. Clin Ortho 1977;129;46- 60.
  • 12. McCarron RF, Wimpee MW, Hudkins PG, et al. The inflammatory effect of nucleus pulposus. A possible element in pathogenesis of low back pain. Spine 1987;12:760-4.
  • 13. Epidural Steroid and Facet Injections for Spinal Pain. United Healthcare Commercial Medical Policy 2018 #2018T0004DD. Effective 02/01/2018
  • 14. Atluri S, Glaser SE, Shah RV, et al. Needle position analysis in cases of paralysis from transforaminal epidurals: Consider alternative approaches to traditional techniques. Pain Physician 2013;16:321- 34.
  • 15. Lee J.W, Kim S.H, Lee I.S, et al. Therapeutic effect and outcome predictors of sciatica treated using transforaminal epidural steroid injection. AJR Am J Roentgenol 2006;187, 1427-31.
  • 16. Olmarker, K.; Holm, S.; Rosenqvist, A.-L, et al. Experimental nerve root compression. A model of acute, graded compression of the porcine cauda equina and an analysis of neural and vascular anatomy. Spine 1991;16:61-9.
  • 17. Jeong HS, Lee JW, Kim SH, et al. Effectiveness of Transforaminal Epidural Steroid Injection by Using a Preganglionic Approach: A Prospective Randomized Controlled Study. Radiology 2007;245:584-90.
  • 18. Lee JW, Kim SH, Choi JY, et al. Transforaminal epidural steroid injection for lumbosacral radiculopathy: Preganglionic versus conventional approach. Korean J Radiol 2006;7:139-44.
  • 19. Onda A, Yabuki S, Kikuchi S, et al. Effects of lidocaine on blood flow and endoneurial fluid pressure in a rat model of herniated nucleus pulposus. Spine 2001;26:2186-91.
  • 20. Vad VB, Bhat AL, Lutz GE, et al. Transforaminal epidural steroid injections in lumbosacral radiculopathy: a prospective randomized study. Spine 2002;27:11-6.
  • 21. Roberts ST, Willick SE, Rho ME, et al. Effcacy of lumbosacral transforaminal epidural steroid injections: a systematic review. PM R 2009;657-68
  • 22. Khan MU, Hussain SZ. Role of psoas compartment and caudal epidural steroid injection in spinal stenosis patients associated with low back pain and lower limb radiculopathy. J Pak Med Assoc 2008;58:490-3.
  • 23. Rinehart JJ, Sagone AL, Balcerzak SP, et al. Effects of corticosteroid therapy on human monocyte function. N Engl J Med 1975;292:236-41.
  • 24. Weinstein SM, Herring SA, Derby R. Contemporary concepts in spine care: Epidural steroid injections. Spine 1995;20:1842-6.
  • 25. Delamarter RB, Bohlman H, Dodge LEA, et al. Experimental lumbar spinal stenosis. Analysis of the cortical evoked potentials, microvasculature, and histopathology. J Bone Jt Surg Am 1990;72:110-20.
  • 26. Lee JG, Lee SC, Kim YC, et al. Effects of low and high molecular weight hyaluronic acids on peridural fibrosis and inflammation in lumbar laminectomized rats. Korean J Pain 2011;24:191-8
  • 27. Buenaventura RM, Datta S, Abdi S, et al. Systematic review of therapeutic lumbar transforaminal epidural steroid injections. Pain Physician 2009;12:233-51.
  • 28. Sluijter ME. The role of radiofrequency in failed back surgery patients. Curr Rev Pain 2000;4:49-53.
  • 29. Park Y, Lee WY, Ahn JK, et al. Percutaneous Adhesiolysis Versus Transforaminal Epidural Steroid Injection for the Treatment of Chronic Radicular Pain Caused by Lumbar Foraminal Spinal Stenosis: A Retrospective Comparative Study Ann Rehabil Med 2015;39:941-9.
  • 30. Kim HJ, Yeom JS, Lee JW, et al. The influence of pain sensitivity on the treatment outcome of transforaminal epidural steroidinjection in patients with lumbar spinal stenosis.Pain Pract 2014;14:405-12.
  • 31. Viton JM, Peretti-Viton P, Rubino T, et al. Short-term assessment of periradicular corticosteroid injections in lumbar radiculopathy associated with disc pathology. Neuroradiology 1998;40:59-62.
  • 32. Evidence-Based Clinical Guidelines for Multidisciplinary Spine Care: Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy. (2012) North American Spine Society.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi
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