[Anatomical differences in sacral hiatus during caudal epidural injection with ultrasonography guidance and its effects on success rate]
| Autor: | Ayhan Kaydu, Erhan Gökçek |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Steroid injection Sacrum Adolescent Visual Analog Scale Visual analogue scale Young Adult Adrenal Cortex Hormones medicine Humans Ultrasonography Interventional Aged Sciatica Aged 80 and over business.industry Middle Aged Anesthesiology and Pain Medicine medicine.anatomical_structure Lumbar back pain Ligament Caudal epidural Female medicine.symptom Ultrasonography business Nuclear medicine Sacral hiatus Anesthesia Caudal Low Back Pain |
| Zdroj: | Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = The journal of the Turkish Society of Algology. 32(1) |
| ISSN: | 2458-9446 |
| Popis: | Objectives To investigate the anatomical differences of sacral hiatus, pain levels and success rates during caudal epidural steroid injection (CESE) using ultrasonography. Methods In the study, 255 patients (148 male and 107 female) with lower lumbar back pain and sciatica were included. These patients were applied caudal epidural steroid injection by ultrasonography. Sonograms were obtained by ultrasonography (USG) guideline. Patients' pain levels were assessed by the Visual Analogue Scale (VAS) during the CESE procedure performed on USG guided, and success rates were saved. The intercornual distance, sacral distance and sacrococcygeal ligament thickness were measured. Results There was no statistically significant difference between the demographic data of the patients (p>0.05). There was a significant difference between male and female patients concerning intercornual distance (15.8 versus 16.6 mm; p=0.004) and sacrococcygeal ligament thickness (4.1 mm vs. 3.7 mm; p=0.018). There was no significant difference between patients about KESE success rate, VAS values and sacral distance (p>0.05). Conclusion We found that sacral hiatus has anatomical differences between male and female patients. According to current evidence, the success rate of caudal epidural steroid injection increased when the anatomical structures of sacral hiatus are shown correctly in USG guided. |
| Databáze: | OpenAIRE |
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