The Internet Journal of Minimally Invasive Spinal Technology™ ISSN: 1937-8254

The Internet Journal of Minimally Invasive Spinal Technology is the official online journal of ISMISS/SICOT (International Society of Minimally Invasive Spinal Surgery, affiliate of SICOT) and AAMISMS (American Academy of Minimally Invasive Spine Surgery and Medicine)

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Fluoroscopically Guided Transforaminal Epidural Steroid Injections For Lumbar Spinal Stenosis And Lumbar Discogenic Pain

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Citation: S. Kabatas : Fluoroscopically Guided Transforaminal Epidural Steroid Injections For Lumbar Spinal Stenosis And Lumbar Discogenic Pain. The Internet Journal of Minimally Invasive Spinal Technology. 2009 Supplement II - to IJMIST Vol III No 4

Abstract

Introduction: Epidural steroid injections (ESIs) have been used in the treatment of chronic low back pain (CLBP) with success. We therefore analyzed the efficacy of fluoroscopically guided transforaminal ESI in patients with lumber spinal stenosis (LSS) and lumbar discogenic pain (LDP) with radiculopathy. Methods: We retrospectively analyzed the prospectively collected data of all patients with a diagnosis of CLBP performed fluoroscopically guided transforaminal ESI between February 2008 and December 2008. Twenty-nine patients with neuroradiological evidence of disc pathology with radiculopathy and LSS were included. All patients received at least one fluoroscopically guided transforaminal epidural injection with 80 mg methylprednisolone acetate and 2 cc of Bupivicain HCl 0.5%. Collected follow-up information included Visual Numeric Pain Scale (VNPS) and North American Spine Society (NASS) patient satisfaction scores. Results: Ages of patients ranged from 34 to 83 years old (mean,56.1±1.2 years old). Among them, 22 are women (75.86%), and 7 are men (24.14%). 68.96 % of patients were determined to have a successful outcome and 31.04% were deemed failures, respectively. Successes were found to differ significantly from failures in pre-injection pain scores and patient satisfaction (p<.05). Conclusion: Fluoroscopically guided transforaminal ESIs have reliable results to perform in patients with LSS and LDP with radiculopathy.

This article was last modified on Fri, 03 Jul 09 14:16:49 -0500

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	The Internet Journal of Minimally Invasive Spinal Technology™ ISSN: 1937-8254 \| Home \| Editors \| Current Issue \| Archives \| Instructions for Authors \| Disclaimer \| Share with others \| The Internet Journal of Minimally Invasive Spinal Technology is the official online journal of ISMISS/SICOT (International Society of Minimally Invasive Spinal Surgery, affiliate of SICOT) and AAMISMS (American Academy of Minimally Invasive Spine Surgery and Medicine) Fluoroscopically Guided Transforaminal Epidural Steroid Injections For Lumbar Spinal Stenosis And Lumbar Discogenic Pain Read printer friendly Subscribe in a reader Share with others Serdar Kabatas Citation: S. Kabatas : Fluoroscopically Guided Transforaminal Epidural Steroid Injections For Lumbar Spinal Stenosis And Lumbar Discogenic Pain. The Internet Journal of Minimally Invasive Spinal Technology. 2009 Supplement II - to IJMIST Vol III No 4 Abstract Introduction: Epidural steroid injections (ESIs) have been used in the treatment of chronic low back pain (CLBP) with success. We therefore analyzed the efficacy of fluoroscopically guided transforaminal ESI in patients with lumber spinal stenosis (LSS) and lumbar discogenic pain (LDP) with radiculopathy. Methods: We retrospectively analyzed the prospectively collected data of all patients with a diagnosis of CLBP performed fluoroscopically guided transforaminal ESI between February 2008 and December 2008. Twenty-nine patients with neuroradiological evidence of disc pathology with radiculopathy and LSS were included. All patients received at least one fluoroscopically guided transforaminal epidural injection with 80 mg methylprednisolone acetate and 2 cc of Bupivicain HCl 0.5%. Collected follow-up information included Visual Numeric Pain Scale (VNPS) and North American Spine Society (NASS) patient satisfaction scores. Results: Ages of patients ranged from 34 to 83 years old (mean,56.1±1.2 years old). Among them, 22 are women (75.86%), and 7 are men (24.14%). 68.96 % of patients were determined to have a successful outcome and 31.04% were deemed failures, respectively. Successes were found to differ significantly from failures in pre-injection pain scores and patient satisfaction (p<.05). Conclusion: Fluoroscopically guided transforaminal ESIs have reliable results to perform in patients with LSS and LDP with radiculopathy. This article was last modified on Fri, 03 Jul 09 14:16:49 -0500 This page was generated on Fri, 20 Nov 09 22:23:34 -0600, and may be cached.
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