Treatment of lumbar spinal stenosis with epidural steroid injections: a retrospective outcome study
| Autor: | Julie Marley, Anthony R Cucuzzella, Elva G Delport, J.Rush Fisher, Christine Pruitt |
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| Rok vydání: | 2004 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.drug_class Spinal stenosis medicine.medical_treatment Injections Epidural Physical Therapy Sports Therapy and Rehabilitation Traumatology Triamcinolone Spinal Stenosis Patient satisfaction medicine Humans Glucocorticoids Saline Aged Pain Measurement Retrospective Studies Rehabilitation Local anesthetic business.industry Lumbar spinal stenosis Recovery of Function medicine.disease Surgery Treatment Outcome Patient Satisfaction Fluoroscopy Anesthesia Orthopedic surgery Female business |
| Zdroj: | Archives of Physical Medicine and Rehabilitation. 85:479-484 |
| ISSN: | 0003-9993 |
| Popis: | Delport EG, Cucuzzella AR, Marley JK, Pruitt CM, Fisher JR. Treatment of lumbar spinal stenosis with epidural steroid injections: a retrospective outcome study. Arch Phys Med Rehabil 2004;85:479–84. Objective To determine patient satisfaction, relief of pain, frequency of injections, change of function, and subsequent surgical rate in patients who received epidural steroid injections (ESIs) for the diagnosis of lumbar spinal stenosis (LSS). Design Retrospective review conducted using a standard set of questions asked over the telephone, 6 to 36 months after the patient received an ESI. Setting An outpatient spine center. Participants One hundred forty patients at or over the age of 55 years diagnosed with LSS who received ESI(s). Intervention Transforaminal or caudal fluoroscopically guided ESIs with 60 to 100mg of triamcinalone in combination with local anesthetic or normal saline. Main outcome measures Duration and amount of pain relief, change in functional status, patient satisfaction, and surgical rate, assessed by a 5-item questionnaire. Results Of the 140 participants, 32% reported more than 2 months of pain relief, 39% reported less than 2 months of pain relief, and 29% reported no relief from the injection(s). Twenty percent subsequently had surgery. Fifty-three percent reported improvement in their functional abilities. Seventy-four percent where at least somewhat satisfied with ESI as a form of treatment. Conclusions ESI is a reasonable treatment for LSS, providing one third of our patient population with sustained relief and more than half with sustained improvement in function. |
| Databáze: | OpenAIRE |
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