Percutaneous Adhesiolysis Versus Transforaminal Epidural Steroid Injection for the Treatment of Chronic Radicular Pain Caused by Lumbar Foraminal Spinal Stenosis: A Retrospective Comparative Study
Autor: | Woo Yong Lee, Jae Ki Ahn, Yongbum Park, Hee-Seung Nam, Ki Hoon Lee |
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Rok vydání: | 2015 |
Předmět: |
medicine.medical_specialty
Percutaneous Adhesiolysis business.industry Spinal stenosis Epidural steroid injection medicine.medical_treatment Rehabilitation Numeric Pain Scale medicine.disease Epidural injection Oswestry Disability Index Surgery Lumbar Radicular pain Anesthesia Fluoroscopy Medicine Original Article business Prospective cohort study |
Zdroj: | Annals of Rehabilitation Medicine |
ISSN: | 2234-0645 |
Popis: | OBJECTIVE To investigate the efficacy of percutaneous adhesiolysis (PA) compared to fluoroscopy (FL)-guided transforaminal epidural steroid injection (TFESI) in patients with radicular pain caused by lumbar foraminal spinal stenosis (LFSS) by assessing pain relief and functional improvement at 4 and 12 weeks post-procedure. METHODS This retrospective study included 45 patients who underwent PA or FL-guided TFSEI for radicular pain caused by LFSS of at least 3 months' duration. Outcomes were assessed with the Oswestry Disability Index (ODI) and Verbal Numeric Pain Scale (VNS) before the procedure and at 4 and 12 weeks post-procedure. A successful outcome was defined by >50% improvement in the VNS score and >40% improvement in the ODI score. RESULTS ODI and VNS scores improved 4 and 12 weeks post-procedure in both groups. Statistically significant differences between groups were observed in ODI and VNS at 12 weeks (p |
Databáze: | OpenAIRE |
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