INYECCIÓN EPIDURAL DE ESTEROIDES EN HERNIA DE DISCO Y ESTENOSIS DEL CANAL LUMBAR: ¿ES SOLO UN PLACEBO?
| Autor: | Sujith Rao Vittaldas, Balamurugan Thirugnanam, Ajay Kumar Shetty Papanna, Vidyadhara Srinivasa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Triamcinolone acetonide
Hernia Hérnia medicine.medical_treatment Diseases of the musculoskeletal system Placebo Dor nas Costas Spinal Stenosis Dolor de Espalda medicine Orthopedics and Sports Medicine In patient Estenose Espinal Saline Bupivacaine Orthopedic surgery Estenosis Espinal Epidural steroid injection business.industry Lumbar canal stenosis RC925-935 Back Pain Anesthesia Surgery Neurology (clinical) Lumbar disc herniation business RD701-811 medicine.drug |
| Zdroj: | Coluna/Columna, Vol 20, Iss 3, Pp 189-191 (2021) Coluna/Columna v.20 n.3 2021 Coluna/Columna Sociedade Brasileira de Coluna (SBCO) instacron:SBCO Coluna/Columna, Volume: 20, Issue: 3, Pages: 189-191, Published: 13 SEP 2021 |
| Popis: | Objective To study the role of epidural steroid injection (ESI) in patients with lumbar disc herniation (LDH) and lumbar canal stenosis (LCS). ESIs are regularly used to support non-operative treatment for LBP, and our anecdotal impression is that a considerable proportion of patients report substantial pain relief after ESI. Methods One thousand consecutive patients (645 patients with LDH and 355 patients with LCS) who required ESI from January-August 2018 were included. All were given the same ESI, prepared with triamcinolone (80 mg), bupivacaine (0.25%, 4 ml) and normal saline (4 ml). Patients were evaluated using the numerical rating scale (NRS) immediately after the injection, after 7 days, and after 3 months. Results The mean NRS back-pain score of the LDH-group was reduced from 5 (range: 4-8) to 4 (range: 2-7) immediately after injection, 2 (range: 1-7) after 7 days and 2 (range: 1-7) after 3 months (p-value |
| Databáze: | OpenAIRE |
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