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Published byWalter Jerome Shepherd Modified over 8 years ago
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G Swamy, A Bishnoi, H Majeed, Z Klezl, D Calthorpe, R Bommireddy Royal Derby Hospital
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Caudal epidural steroid injections widely used for lumbo-sacral radicular pain. No literature to investigate the use of caudal route in the presence of a sacral tarlov cyst. Purpose To investigate the clinical effectiveness of caudal epidural steroid injections in patients with an MRI proven sacral tarlov cyst.
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A Prospective case control study All patients with MRI proven diagnosis Course of three caudal epidural steroid injections Patients reviewed at 3 months Data-base to include demographics, diagnosis and complications. MAIN OUTCOME MEASURES 1. Oswestry Disability Index (ODI). 2.Visual analogue score (VAS) 3.Hospital Anxiety and Depression Scores (HADS)
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78 patients with 3 month follow up Sacral cyst group n=38 Control group n=40 Mean age was 56 years 58% females BMI from 17 to 44 4.1% had ongoing litigation 1 patient required surgery 3 patients had transient hypotension
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Before injection [1] Back: Mean = 5.895 Median = 6 Leg: Mean = 6.23 Median = 7 At 3 months [2] Back: Mean = 2.59 Median = 0 Leg: Mean = 6.2.52 Median = 0
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ODI HADS
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In our study The presence of a sacral tarlov cyst was not a contraindication for caudal epidural steroid injection Comparable significant improvement in limb pain achieved in both groups No major complications noted
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