Abstract | OBJECTIVES: This study looks into the efficacy and safety of the transforaminal lumbar epidural steroid injection (TLESI) applied to patients with radiculopathy due to lumbar disk herniation. METHODS: The patients' files which were applied TLESI, were retrospectively scanned. Patients who did not respond to one-month conservative treatment and who were detected to have bulging or protruding lumbar disk herniation as a result of imaging methods were included in the study. All applications were performed with C-arm fluoroscopy under local anesthesia by outpatient method. In all cases, a mix of 80 mg triamsinolone and 0.25% bupivacaine, was transforaminally injected to the anterior epidural area. Initial VAS pain scores were compared with the values of the 1, 3 and 6th months after the application. Patient satisfaction was determined through scoring. Furthermore, early and late term complications were collected for evaluation. RESULTS: A total of 222 patients were administered TLESI 460 times (average: 2.1, repeat interval: 1-6 times). The applications were carried out most frequently at the levels of L4-L5 and L5-S1. While the initial VAS score average was 8.2±0.7, after TLESI, it was 5.0±1.6, 4.8±1.5 and 5.1±1.5 in the 1, 3 and 6th months, respectively. 63.9% of the patients (n=142) defined the treatment as 'good and excellent'. No major complications were experienced and the overall minor complication rate was 11.1%. CONCLUSION: It was seen that TLESI was an efficient and safe method in the short and medium term.
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Authors | Mehmet Fatih Çetin, Haktan Karaman, Gönül Ölmez Kavak, Adnan Tüfek, Zeynep Baysal Yildirim |
Journal | Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology
(Agri)
Vol. 24
Issue 2
Pg. 77-84
( 2012)
ISSN: 2458-9446 [Electronic] Turkey |
Vernacular Title | Lumbar radikülopatili hastalarda transforaminal lumbar epidural steroid enjeksiyonlarının etkinliği. |
PMID | 22865492
(Publication Type: Journal Article)
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Chemical References |
- Anesthetics, Local
- Anti-Inflammatory Agents
- Triamcinolone
- Bupivacaine
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Anesthetics, Local
(administration & dosage)
- Anti-Inflammatory Agents
(administration & dosage)
- Bupivacaine
(administration & dosage)
- Female
- Fluoroscopy
- Humans
- Injections, Epidural
- Intervertebral Disc Displacement
(complications, diagnostic imaging)
- Low Back Pain
(drug therapy, etiology)
- Lumbosacral Region
- Male
- Middle Aged
- Pain Measurement
- Retrospective Studies
- Treatment Outcome
- Triamcinolone
(administration & dosage)
- Turkey
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