Radiculopathy in degenerative lumbar scoliosis: correlation of stenosis with relief from selective nerve root steroid injections
| Autor: | Ploumis, A., Transfeldt, E. E., Gilbert, T. J., Mehbod, A. A., Pinto, M. R., Denis, F. |
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| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Adult
Anti-Inflammatory Agents/administration & dosage/*therapeutic use Male Radiculopathy/*drug therapy/*etiology/pathology Scoliosis/*complications/pathology Spinal Nerve Roots/radiography Middle Aged Magnetic Resonance Imaging Spinal Stenosis/*drug therapy/*etiology Treatment Outcome Steroids/administration & dosage/*therapeutic use Fluoroscopy Humans Female Aged Pain Measurement Retrospective Studies |
| Popis: | OBJECTIVE: The purpose is to define the origin of radiculopathy of patients with degenerative lumbar scoliosis-stenosis and to assess the correlation between percentage of initial radicular leg pain relief with selective nerve root injections and lateral canal dimensions. DESIGN: Retrospective clinical study. SETTING AND PATIENTS: Thirty-six consecutive patients (average age 72) from Twin Cities Spine Center with degenerative lumbar scoliosis (average major curve 25 degrees ) and radicular symptoms were studied. INTERVENTIONS: Patients underwent 46 selective steroid injections of nerve roots concordant with clinical symptomatology. OUTCOME MEASURES: Radiographic measurements included major and lumbosacral curve Cobb angle. Computerized measurements of magnetic resonance imaging (MRI) included minimum subarticular height and foramen cross-sectional area of the nerve roots that were injected. Initial response from the nerve root injections was also rated. RESULTS: Twenty-five percent of nerve root symptoms were coming from the major curve, 72.2% from the lumbosacral hemicurve and 2.8% from both (P0.05) between the lateral canal dimensions and the initial response to injection of anesthetic plus steroid injection. CONCLUSIONS: In degenerative lumbar scoliotic curves, radicular symptoms are attributed mainly to nerve roots exiting from the concavity of the lumbosacral hemicurve. No evidence was found that the rate of initial relief from selective nerve root injections correlates with the degree of stenosis noted in the MRI. Pain Med |
| Databáze: | OpenAIRE |
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