Effect of sacralization on the success of lumbar transforaminal epidural steroid injection treatment: prospective clinical trial.
Low back pain
Lumbar radicular pain
Lumbosacral transitional vertebrae
Sacralization
Transforaminal epidural steroid injection
Journal
Skeletal radiology
ISSN: 1432-2161
Titre abrégé: Skeletal Radiol
Pays: Germany
ID NLM: 7701953
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
07
04
2022
accepted:
07
06
2022
revised:
07
06
2022
medline:
25
8
2023
pubmed:
16
6
2022
entrez:
15
6
2022
Statut:
ppublish
Résumé
The aim of this study was to invastigate the effect of the sacralization on the results of transforaminal epidural steroid injection for radicular low back pain. The study included 64 patients diagnosed with radicular low back pain due to unilateral and single-level lumbar disk herniation. Patients were divided into 2 groups: patients with sacralization (Group S) and patients without lumbosacral transitional vertebrae (Group A). Injection was applied to the relevant level. Patients were evaluated with Numeric Rating Scale and Modified Oswestry Disability Index before, at week 3 and month 3 after the procedure. Sacralization presence was determined by MRI. Sacralization was categorized by anteroposterior lumbar radiography using Castellvi classification. Treatment success was considered as ≥ 50% reduction in NRS scores. Numeric Rating Scale and Modified Oswestry Disability Index scores decreased in both groups on both week 3 and month 3 (p < 0.05). Pain scores of Group S (median value 5 (3-6)) were significantly higher than Group A ((median value 3 (0-5)) in the third month follow-up (p = 0.026), but no significant difference was observed at other time points. There was no significant difference in Modified Oswestry Disability Index scores between the groups at all follow-ups (p > 0.05). Treatment success in the third month was 44.8% in Group S and 65.6% in Group A. Transforaminal epidural steroid injection is an effective and safe method for radicular low back pain. Sacralization presence should be evaluated before treatment considering that it may be a risk factor reducing treatment success.
Identifiants
pubmed: 35705827
doi: 10.1007/s00256-022-04089-3
pii: 10.1007/s00256-022-04089-3
doi:
Substances chimiques
Steroids
0
Types de publication
Clinical Trial
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1949-1957Informations de copyright
© 2022. The Author(s), under exclusive licence to International Skeletal Society (ISS).
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