Transforaminal Epidural Steroid Injections in Lumbar Spinal Stenosis Patients Barış Özöner Erzincan University School of Medicine Neurosurgery Department ID: 930307
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Results of Bilateral Transforaminal Epidural Steroid Injections in Lumbar Spinal Stenosis Patients
Barış ÖzönerErzincan University School of MedicineNeurosurgery Department
Slide2Lomber spinal stenosis
Slide3Transforaminal epidural steroid injection
Slide4Injections for lomber spinal stenosisCaudalInterlaminarUnilateral foraminalFaset block
Slide5Aim:Study Design: Retrospective studyBilateral transforaminal steroid injections to lomber spinal stenosis (LSS) cases (One or two level) With neurogenic claudication (NC) With sciatic pain
With low back pain
Slide6Material and Method65 patient (Mean age=54,2±12,6; age distribution=42-68)87 levels (174 BLTFEIs)August 2015 – January 2018Visual analog scale(VAS) 0, 1, 3, 6 months Low back pain Sciatic painOswetry disability index (ODI) 0, 1, 3, 6 months Quality of lifeWalking distance 0, 1, 3, 6 months Neurogenic claudication
Slide7ResultsSubstantial responders VAS (Amelioration > 5 points) Low back pain Sciatic pain
Slide8ResultsSubstantial + Moderate responders VAS (Amelioration >3 points) Low back pain Sciatic pain
Slide9ResultsOswestry Disabily Index (ODI)Quality of Life
Slide10ResultsWalking distanceNeurogenic claudication
Slide11ConclusionBLTFSIs in LSSNoneffective in neurogenic claudication Effective in amelioration quality of lifeSignificantly in 1. and 3 monthsRelatively in 6. monthEffective in LBP and SPMore effective in SP than LBP