EFFICACY OF INTRA OPERATIVE USE OF TRIAMCINOLONE IN LUMBAR DISCECTOMY

Objective: To evaluate the effect of epidural application of triamcinolone during lumbar discectomy on postoperative pain relief. Study Design: Case control study. Place and Duration of Study: Department of Neurosurgery, Combined Military Hospital Lahore, from Oct 2019 to Feb 2020. Method...

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Autores principales:	Asim Ishfaq, Muhammad Shahzad
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	triamcinolone disc Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/eb2d58ceb0034fecb5f29832aa76a6e3
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spelling	oai:doaj.org-article:eb2d58ceb0034fecb5f29832aa76a6e32021-11-05T03:01:48ZEFFICACY OF INTRA OPERATIVE USE OF TRIAMCINOLONE IN LUMBAR DISCECTOMY0030-96482411-8842https://doaj.org/article/eb2d58ceb0034fecb5f29832aa76a6e32020-12-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/4839/3085https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To evaluate the effect of epidural application of triamcinolone during lumbar discectomy on postoperative pain relief. Study Design: Case control study. Place and Duration of Study: Department of Neurosurgery, Combined Military Hospital Lahore, from Oct 2019 to Feb 2020. Methodology: Thirty patients receiving intraoperative epidural triamcinolone application compared with 30 controls objective assessment by T-scores of the Timed Up and Go test, back and sciatic leg pain by Visual analog scale and for subjective functional impairment by oswestry Disability Index were calculated pre-op, postoperative day 2 and at 4 weeks. Results: The baseline demographics, disease specific features and preoperative impairment scores were similar among both groups. At day post-operative day 2, subjective impairment on oswestry disability index for the steroid group was (30.6 vs 36.2, p<0.01), with significant difference in terms of objective functional impairment score between steroid group (T-score 128.2 vs 129.3, p<0.01). At 4 weeks post operatively, the Objective functional impairment was also found to be significantly less in the steroid group (T-score 100.5 vs 110.3, p<0.01), with less disabled steroid group patients with oswestry disability index (17.0 vs 24, p<0.01). Complication rates in both groups were similar. The duration of hospital stay was shorter among the steroid group (5.0 vs 5.8 days, p=0.06). Conclusion: The application of triamcinolone in lumbar discectomy leads to benefit in both subjective and objective pain parameters in the early postoperative period.Asim IshfaqMuhammad ShahzadArmy Medical College RawalpindiarticletriamcinolonediscMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 6, Pp 1908-1912 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	triamcinolone disc Medicine R Medicine (General) R5-920
spellingShingle	triamcinolone disc Medicine R Medicine (General) R5-920 Asim Ishfaq Muhammad Shahzad EFFICACY OF INTRA OPERATIVE USE OF TRIAMCINOLONE IN LUMBAR DISCECTOMY
description	Objective: To evaluate the effect of epidural application of triamcinolone during lumbar discectomy on postoperative pain relief. Study Design: Case control study. Place and Duration of Study: Department of Neurosurgery, Combined Military Hospital Lahore, from Oct 2019 to Feb 2020. Methodology: Thirty patients receiving intraoperative epidural triamcinolone application compared with 30 controls objective assessment by T-scores of the Timed Up and Go test, back and sciatic leg pain by Visual analog scale and for subjective functional impairment by oswestry Disability Index were calculated pre-op, postoperative day 2 and at 4 weeks. Results: The baseline demographics, disease specific features and preoperative impairment scores were similar among both groups. At day post-operative day 2, subjective impairment on oswestry disability index for the steroid group was (30.6 vs 36.2, p<0.01), with significant difference in terms of objective functional impairment score between steroid group (T-score 128.2 vs 129.3, p<0.01). At 4 weeks post operatively, the Objective functional impairment was also found to be significantly less in the steroid group (T-score 100.5 vs 110.3, p<0.01), with less disabled steroid group patients with oswestry disability index (17.0 vs 24, p<0.01). Complication rates in both groups were similar. The duration of hospital stay was shorter among the steroid group (5.0 vs 5.8 days, p=0.06). Conclusion: The application of triamcinolone in lumbar discectomy leads to benefit in both subjective and objective pain parameters in the early postoperative period.
format	article
author	Asim Ishfaq Muhammad Shahzad
author_facet	Asim Ishfaq Muhammad Shahzad
author_sort	Asim Ishfaq
title	EFFICACY OF INTRA OPERATIVE USE OF TRIAMCINOLONE IN LUMBAR DISCECTOMY
title_short	EFFICACY OF INTRA OPERATIVE USE OF TRIAMCINOLONE IN LUMBAR DISCECTOMY
title_full	EFFICACY OF INTRA OPERATIVE USE OF TRIAMCINOLONE IN LUMBAR DISCECTOMY
title_fullStr	EFFICACY OF INTRA OPERATIVE USE OF TRIAMCINOLONE IN LUMBAR DISCECTOMY
title_full_unstemmed	EFFICACY OF INTRA OPERATIVE USE OF TRIAMCINOLONE IN LUMBAR DISCECTOMY
title_sort	efficacy of intra operative use of triamcinolone in lumbar discectomy
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/eb2d58ceb0034fecb5f29832aa76a6e3
work_keys_str_mv	AT asimishfaq efficacyofintraoperativeuseoftriamcinoloneinlumbardiscectomy AT muhammadshahzad efficacyofintraoperativeuseoftriamcinoloneinlumbardiscectomy
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EFFICACY OF INTRA OPERATIVE USE OF TRIAMCINOLONE IN LUMBAR DISCECTOMY

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