Comparison of clinical efficacy in epidural steroid injections through transforaminal or parasagittal approaches.

ABSTRACT:

Background

The transforaminal (TF) epidural steroid injection (ESI) is suggested as more effective than the interlaminar (IL) route due to higher delivery of medication at the anterior epidural space. However, serious complications such as spinal cord injury and permanent neural injury have been reported. The purpose of this study is to evaluate and compare the clinical effectiveness, technical ease, and safety of the TF and parasagittal IL (PIL) ESI.

Methods

A total of 72 patients were randomized to either the PIL group (n = 41) or the TF group (n = 31) under fluoroscopic guidance. Patients were evaluated for effective pain relief by the numerical rating scale (NRS) and Oswestry Disability Index (ODI) (%) before and 2 weeks after the ESI. The presence of concordant paresthe

SUBMITTER: Hong JH 

PROVIDER: S-EPMC5532530 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature