A retrospective study of epidural and intravenous steroids after percutaneous endoscopic lumbar discectomy for large lumbar disc herniation
Autor: | Teng-Hui Zeng, Yang Zhang, Yi-Tian Wang, Xin-Jian Yang, Yi-Yan Qiu, Fei-Guo Liang |
---|---|
Rok vydání: | 2016 |
Předmět: |
Adult
Male medicine.medical_specialty Large lumbar disc herniation Percutaneous Visual analogue scale Lumbar discectomy Injections Epidural Betamethasone Group B 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Medicine Humans Orthopedics and Sports Medicine Diskectomy Percutaneous Glucocorticoids Pain Measurement Retrospective Studies lcsh:R5-920 Lumbar Vertebrae business.industry Retrospective cohort study Endoscopy Length of Stay Surgery Oswestry Disability Index Injections Intravenous Female Original Article Steroids Lumbar disc herniation lcsh:Medicine (General) business Intravenous steroids Endoscopic lumbar discectomy 030217 neurology & neurosurgery Intervertebral Disc Displacement |
Zdroj: | Chinese Journal of Traumatology Chinese Journal of Traumatology, Vol 20, Iss 1, Pp 34-38 (2017) |
ISSN: | 1008-1275 |
Popis: | Objective: To assess the early curative effect of epidural or intravenous administration of steroids during a percutaneous endoscopic lumbar discectomy (PELD). Methods: 28 consecutive patients who underwent PELD due to large lumbar disc herniation between November 2014 and January 2016 were followed up for 6 months. These patients were divided into two groups according to the treatment they received after PELD. 14 patients (Group A) were treated by PELD and epidural steroids, while the other 14 patients (Group B) were treated by PELD and intravenous steroids. We evaluated the effectiveness by the preoperative and postoperative visual analogue scale (VAS) scores for back and leg pain, and the postoperative Oswestry disability index (ODI) at 3 weeks after surgery via the clinical charts and telephone interview. Postoperative hospital stay and time return to work were investigated as well. Results: There is a significant decrease in VAS (back, leg), ODI, and time return to work (p |
Databáze: | OpenAIRE |
Externí odkaz: |