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Fluoroscopically guided caudal epidural steroid injection for management of degenerative lumbar spinal stenosis: short-term and long-term results

Cited 22 time in Web of Science Cited 20 time in Scopus
Authors
Lee, Joon Woo; Myung, Jae Sung; Park, Kun Woo; Yeom, Jin S.; Kim, Ki-Jeong; Kim, Hyun-Jib; Kang, Heung Sik
Issue Date
2010-07
Publisher
SPRINGER
Citation
SKELETAL RADIOLOGY Vol.39 No.7, pp. 691-699
Keywords
의약학Caudal epidural steroid injectionSpine interventionLumbar spineSpinal stenosisSteroid
Abstract
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. 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. Two hundred and sixteen patients (male:female = 75:141; mean age 69.2 years; range 48 similar to aEuro parts per thousand 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. 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.
ISSN
0364-2348
Language
English
URI
http://hdl.handle.net/10371/81544
DOI
https://doi.org/10.1007/s00256-009-0860-1
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College of Medicine/School of Medicine (의과대학/대학원)Orthopedic Surgery (정형외과학전공)Journal Papers (저널논문_정형외과학전공)
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