Predictors of successful treatment after transforaminal epidural steroid injections in patients with lumbar disc herniation

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dc.contributor.authorSarıyıldız, Mustafa Akif
dc.contributor.authorBatmaz, İbrahim
dc.contributor.authorHattapoǧlu, Salih
dc.date.accessioned2024-04-24T17:58:15Z
dc.date.available2024-04-24T17:58:15Z
dc.date.issued2024
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Fizik Tedavi ve Rehzbilitasyon Ana Bilim Dalıen_US
dc.description.abstractBACKGROUND: Epidural steroid injections are common procedures used to treat lumbosacral radicular pain due to lumbar disc herniation (LDH). It is crucial for the clinician to anticipate which patients can benefit from interventional treatment options. OBJECTIVE: This study aimed to examine the effect of radiological and clinical parameters on lumbar transforaminal epidural steroid injections (TFESI)/local anesthetic injection outcomes in patients with LDH. METHODS: This study included 286 patients with LDH (146 males and 140 females). All patients received a fluoroscopically guided TFESI (triamcinolone acetonide 40 mg, lidocaine 2%, and 2.5 ml of physiological saline). Patients were evaluated according to radicular pain, the Oswestry Disability Index (ODI) and the Hospital Anxiety and Depression Scale at baseline and 3 months after the injections. Demographic, clinical and magnetic resonance imaging (MRI) findings were recorded to assess the predictive factors for TFESI outcomes. Pfirrmann Grades 1 and 2 were classified as low-grade nerve root compression and Grade 3 was classified as highgrade nerve root compression. RESULTS: Compared to baseline measurements there were significant improvements in radicular pain, ODI score, Laseque angle, and Schober test scores 3 months after injection. Improvements of at least 50% in radicular pain relief and the ODI functionality index were (n= 214) 82%, (n= 182) 70% respectively at 3 months. Correlation analyses revealed that a shorter duration of symptoms, lowgrade nerve root compression and foraminal/extraforaminal location on MRI findings were associated with a favorable response. CONCLUSIONS: Lowgrade nerve root compression was a predictor of a favorable response to TFESI.en_US
dc.identifier.citationSarıyıldız, M. A., Batmaz, İ. ve Hattapoǧlu, S. (2024). Predictors of successful treatment after transforaminal epidural steroid injections in patients with lumbar disc herniation. Journal of Back and Musculoskeletal Rehabilitation, 37(2), 327-335.
dc.identifier.doi10.3233/BMR-230051
dc.identifier.endpage335en_US
dc.identifier.issn1053-8127
dc.identifier.issue2en_US
dc.identifier.pmid37840482
dc.identifier.scopus2-s2.0-85188760960
dc.identifier.scopusqualityQ2
dc.identifier.startpage327en_US
dc.identifier.urihttps://doi.org/10.3233/BMR-230051
dc.identifier.urihttps://hdl.handle.net/11468/23760
dc.identifier.volume37en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherIOS Press BVen_US
dc.relation.ispartofJournal of Back and Musculoskeletal Rehabilitation
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEpidural injectionen_US
dc.subjectLumbar disc herniationen_US
dc.subjectMrı imagingen_US
dc.subjectNerve root compressionen_US
dc.subjectTreatment responseen_US
dc.titlePredictors of successful treatment after transforaminal epidural steroid injections in patients with lumbar disc herniationen_US
dc.titlePredictors of successful treatment after transforaminal epidural steroid injections in patients with lumbar disc herniation
dc.typeArticleen_US

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