Barış Özöner Erzincan University School of Medicine

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Presentation transcript:

Results of Bilateral Transforaminal Epidural Steroid Injections in Lumbar Spinal Stenosis Patients Barış Özöner Erzincan University School of Medicine Neurosurgery Department

Lomber spinal stenosis

Transforaminal epidural steroid injection

Injections for lomber spinal stenosis Caudal Interlaminar Unilateral foraminal Faset block

Aim: Study Design: Retrospective study Bilateral transforaminal steroid injections to lomber spinal stenosis (LSS) cases (One or two level) With neurogenic claudication (NC) With sciatic pain With low back pain

Material and Method 65 patient (Mean age=54,2±12,6; age distribution=42-68) 87 levels (174 BLTFEIs) August 2015 – January 2018 Visual analog scale(VAS) 0, 1, 3, 6 months Low back pain Sciatic pain Oswetry disability index (ODI) 0, 1, 3, 6 months Quality of life Walking distance 0, 1, 3, 6 months Neurogenic claudication

Results Substantial responders VAS (Amelioration > 5 points) Low back pain Sciatic pain

Results Substantial + Moderate responders VAS (Amelioration >3 points) Low back pain Sciatic pain

Results Oswestry Disabily Index (ODI) Quality of Life

Results Walking distance Neurogenic claudication

Conclusion BLTFSIs in LSS Noneffective in neurogenic claudication Effective in amelioration quality of life Significantly in 1. and 3 months Relatively in 6. month Effective in LBP and SP More effective in SP than LBP