Predictive Factors of Efficacy of Transforamenal Epidural Steroid Injection for Patients with Lumbar Discogenic Radiculopathy in Neurosurgery Department

Background Data: Transforaminal Epidural Steroid Injection is one of the nonsurgical treatment methods for sciatic pain. The clinical outcome and predictive factors that affect its results are still under debate. Purpose: The purpose of this study is to evaluate the results of transforaminal epidur...

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Autores principales:	Hassan Al-Shatoury, Ali Khedr, Ali Abou- Madawi, Medhat Marzouk
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2013
Materias:	Lumbar Disc Prolapse sciatica Low back pain Steroids Transforaminal injection Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/c63d322343704539b874f3765f83296a
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spelling	oai:doaj.org-article:c63d322343704539b874f3765f83296a2021-12-02T08:45:48ZPredictive Factors of Efficacy of Transforamenal Epidural Steroid Injection for Patients with Lumbar Discogenic Radiculopathy in Neurosurgery DepartmentDOI:10.21608/ESJ.2013.38132314-89502314-8969https://doaj.org/article/c63d322343704539b874f3765f83296a2013-04-01T00:00:00Zhttp://esj.journals.ekb.eg/article_3813.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Transforaminal Epidural Steroid Injection is one of the nonsurgical treatment methods for sciatic pain. The clinical outcome and predictive factors that affect its results are still under debate. Purpose: The purpose of this study is to evaluate the results of transforaminal epidural steroid injection and identify factors for predicting success. Study Design: A descriptive analytic cross sectional prospective study involving 45 patients with lumbar radiculopathy. Patients and Methods: Forty-Five patients with lumbar radiculopathy were prospectively followed up at 2 weeks and 6 months after Transforaminal Epidural Steroid Injection. The intensity of radicular pain was scored on the Visual Analog Scale (VAS). Outcome was classified as “respondent” when the pain diminished by 50% or more, “Non-respondent” for a diminution of less than 50%. Duration of symptoms, affected level, position of disc herniation, degree of nerve root compression, pain intensity, and body mass index were chosen as predictive factors to study. Results: The mean VAS scores were 7.381.11± before, 2.93 (SD 2.01) 2 weeks after the procedure, and 4.182.75± at 6 months follow-up. Outcome was graded as respondent in 31 patients (68.9%), and non-respondent in 14 patients (31.1%). Level and position of disc herniation, body mass index, and pain intensity were not predictive factors of radicular pain relief, whereas the symptom duration before the procedure and degree of nerve root compression were highly correlated with the pain relief outcome. Minor complications occurred in 2 patients. Conclusion: Transforaminal Epidural Steroid Injection is a simple, safe, and effective nonsurgical procedure. Patients with shorter duration of symptoms, and minimal degree of nerve root compressions shows better improvement. (2013ESJ036)Hassan Al-Shatoury Ali Khedr Ali Abou- Madawi Medhat MarzoukEgyptian Spine AssociationarticleLumbar Disc ProlapsesciaticaLow back painSteroidsTransforaminal injectionNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 6, Iss 1, Pp 2-10 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Lumbar Disc Prolapse sciatica Low back pain Steroids Transforaminal injection Neurology. Diseases of the nervous system RC346-429
spellingShingle	Lumbar Disc Prolapse sciatica Low back pain Steroids Transforaminal injection Neurology. Diseases of the nervous system RC346-429 Hassan Al-Shatoury Ali Khedr Ali Abou- Madawi Medhat Marzouk Predictive Factors of Efficacy of Transforamenal Epidural Steroid Injection for Patients with Lumbar Discogenic Radiculopathy in Neurosurgery Department
description	Background Data: Transforaminal Epidural Steroid Injection is one of the nonsurgical treatment methods for sciatic pain. The clinical outcome and predictive factors that affect its results are still under debate. Purpose: The purpose of this study is to evaluate the results of transforaminal epidural steroid injection and identify factors for predicting success. Study Design: A descriptive analytic cross sectional prospective study involving 45 patients with lumbar radiculopathy. Patients and Methods: Forty-Five patients with lumbar radiculopathy were prospectively followed up at 2 weeks and 6 months after Transforaminal Epidural Steroid Injection. The intensity of radicular pain was scored on the Visual Analog Scale (VAS). Outcome was classified as “respondent” when the pain diminished by 50% or more, “Non-respondent” for a diminution of less than 50%. Duration of symptoms, affected level, position of disc herniation, degree of nerve root compression, pain intensity, and body mass index were chosen as predictive factors to study. Results: The mean VAS scores were 7.381.11± before, 2.93 (SD 2.01) 2 weeks after the procedure, and 4.182.75± at 6 months follow-up. Outcome was graded as respondent in 31 patients (68.9%), and non-respondent in 14 patients (31.1%). Level and position of disc herniation, body mass index, and pain intensity were not predictive factors of radicular pain relief, whereas the symptom duration before the procedure and degree of nerve root compression were highly correlated with the pain relief outcome. Minor complications occurred in 2 patients. Conclusion: Transforaminal Epidural Steroid Injection is a simple, safe, and effective nonsurgical procedure. Patients with shorter duration of symptoms, and minimal degree of nerve root compressions shows better improvement. (2013ESJ036)
format	article
author	Hassan Al-Shatoury Ali Khedr Ali Abou- Madawi Medhat Marzouk
author_facet	Hassan Al-Shatoury Ali Khedr Ali Abou- Madawi Medhat Marzouk
author_sort	Hassan Al-Shatoury
title	Predictive Factors of Efficacy of Transforamenal Epidural Steroid Injection for Patients with Lumbar Discogenic Radiculopathy in Neurosurgery Department
title_short	Predictive Factors of Efficacy of Transforamenal Epidural Steroid Injection for Patients with Lumbar Discogenic Radiculopathy in Neurosurgery Department
title_full	Predictive Factors of Efficacy of Transforamenal Epidural Steroid Injection for Patients with Lumbar Discogenic Radiculopathy in Neurosurgery Department
title_fullStr	Predictive Factors of Efficacy of Transforamenal Epidural Steroid Injection for Patients with Lumbar Discogenic Radiculopathy in Neurosurgery Department
title_full_unstemmed	Predictive Factors of Efficacy of Transforamenal Epidural Steroid Injection for Patients with Lumbar Discogenic Radiculopathy in Neurosurgery Department
title_sort	predictive factors of efficacy of transforamenal epidural steroid injection for patients with lumbar discogenic radiculopathy in neurosurgery department
publisher	Egyptian Spine Association
publishDate	2013
url	https://doaj.org/article/c63d322343704539b874f3765f83296a
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Predictive Factors of Efficacy of Transforamenal Epidural Steroid Injection for Patients with Lumbar Discogenic Radiculopathy in Neurosurgery Department

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