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Caudal Epidural Steroid Application at Chronic Low Back and Leg Pain: Experience of Fifty Cases and the Analysis of Pain and Satisfaction of the Cases

机译:尾硬膜外激素在慢性腰背痛和腿痛中的应用:五十例经验及疼痛和满意度的分析

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Background: In this article, we present the results of 50 patients whom we treated with epidural steroid injection, and our experience on the subject. Methods: Fifty patients who were followed in our clinic between January 2011 and August 2011 were assessed retrospectively. These were the patients who had chronic low back and leg pain due to lomber spinal degeneration and for whom operation was not recommended and lomber caudal epidural steroid was applied. Results: In our study, 50 patients having low back pain or leg pain or low back and leg pain together were assessed, and regression at rVAS score of 86% of the patients was detected for a short period after the intervention. VAS scores of 14% of the patients were not different. On long-term follow-up rVAS score analysis of the patients showed regression at 74% of the cases. Conclusion: Caudal steroid injection is a safe and efficient treatment method for the patients who have radicular pain, who do not respond to conservative treatment and for whom surgery is not recommended. Randomized double blind studies are needed to assess its superiority to other conservative methods.J Neurol Res. 2013;3(6):173-178doi: http://dx.doi.org/10.4021/jnr212w
机译:背景:在本文中,我们介绍了50例接受硬膜外类固醇注射治疗的患者的结果以及我们在该主题上的经验。方法:回顾性分析2011年1月至2011年8月在我们诊所接受随访的50例患者。这些是因腰椎退行性变而患有慢性腰背和腿痛的患者,不建议进行手术,而是采用腰椎硬膜外激素。结果:在我们的研究中,评估了50例下腰痛或腿痛或下背和腿痛的患者,在干预后的短时间内,在rVAS评分为86%的患者中出现了消退。 14%的患者的VAS评分没有差异。在长期随访中,对患者的rVAS评分分析显示74%的病例出现了消退。结论:尾根类固醇注射是一种治疗神经根痛,对保守治疗无反应且不建议手术的患者的安全有效的治疗方法。需要随机双盲研究来评估其相对于其他保守方法的优越性。 2013; 3(6):173-178doi:http://dx.doi.org/10.4021/jnr212w

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