Document Detail


Fluoroscopically guided caudal epidural steroid injection for management of degenerative lumbar spinal stenosis: short-term and long-term results.
MedLine Citation:
PMID:  20033148     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the short-term and long-term effects of fluoroscopically guided caudal epidural steroid injection (ESI) for the management of degenerative lumbar spinal stenosis (DLSS) and to analyze outcome predictors. MATERIALS AND METHODS: All patients who underwent caudal ESI in 2006 for DLSS were included in the study. Response was based on chart documentation (aggravated, no change, slightly improved, much improved, no pain). In June 2009 telephone interviews were conducted, using formatted questions including the North American Spine Society (NASS) patient satisfaction scale. For short-term and long-term effects, age difference was evaluated by the Mann-Whitney U test, and gender, duration of symptoms, level of DLSS, spondylolisthesis, and previous operations were evaluated by Fisher's exact test. RESULTS: Two hundred and sixteen patients (male:female = 75:141; mean age 69.2 years; range 48 approximately 91 years) were included in the study. Improvements (slightly improved, much improved, no pain) were seen in 185 patients (85.6%) after an initial caudal ESI and in 189 patients (87.5%) after a series of caudal ESIs. Half of the patients (89/179, 49.8%) replied positively to the NASS patient satisfaction scale (1 or 2). There were no significant outcome predictors for either the short-term or the long-term responses. CONCLUSION: Fluoroscopically guided caudal ESI was effective for the management of DLSS (especially central canal stenosis) with excellent short-term and good long-term results, without significant outcome predictors.
Authors:
Joon Woo Lee; Jae Sung Myung; Kun Woo Park; Jin S Yeom; Ki-Jeong Kim; Hyun-Jib Kim; Heung Sik Kang
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Publication Detail:
Type:  Clinical Trial; Journal Article     Date:  2009-12-22
Journal Detail:
Title:  Skeletal radiology     Volume:  39     ISSN:  1432-2161     ISO Abbreviation:  Skeletal Radiol.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-05-21     Completed Date:  2010-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7701953     Medline TA:  Skeletal Radiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  691-9     Citation Subset:  IM    
Affiliation:
Department of Radiology, Seoul National University Bundang Hospital, 300 Gumidong, Bundag-Gu, Seong Nam, Gyeongi-do, 463-707, Korea.
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MeSH Terms
Descriptor/Qualifier:
Aged
Anti-Inflammatory Agents / administration & dosage
Female
Humans
Injections, Epidural / methods
Longitudinal Studies
Male
Radiography, Interventional / methods*
Spinal Stenosis / drug therapy*,  radiography*
Steroids / administration & dosage*
Tomography, X-Ray Computed / methods*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents; 0/Steroids

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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