NON-OPERE TEK MESAFE LOMBER DİSK HERNİASYONLARINDA TRANSFORAMİNAL EPİDURAL STEROİD ENJEKSİYONU ETKİNLİĞİNİN DEĞERLENDİRİLMESİ

Year 2023, , 148 - 153, 05.04.2023

Elif Eygi , Ayşe Neslihan Balkaya , Alp Gurbet , Şükran Şahin

https://doi.org/10.18229/kocatepetip.1020604

Abstract

AMAÇ: Lomber disk hernilerinde (LDH) minimal invaziv bir girişim olan transforaminal epidural steroid enjeksiyonu (TESE) uygulaması hastaların ağrılarını önemli ölçüde azaltılabilir. Çalışmamızda radikülopatik semptomları olan, cerrahi işlem uygulanmamış tek mesafe LDH olgularında TESE’nin etkinliğinin değerlendirilmesi amaçlandı.
GEREÇ VE YÖNTEM: 2007- 2011 tarihleri arası, TESE uygulanmış hastaların medikal kayıtları retrospektif olarak incelendi. TESE girişimi öncesinde ve sonrasında ilk 6 aylık kontrollerindeki vizüel analog skala (VAS), düz bacak kaldırma (DBK) testi ve hasta memnuniyet skorları değerlendirildi.
BULGULAR: 105 hasta (21 erkek, 84 kadın) değerlendirildi. Kontrol VAS ve DBK testi değerleri girişim öncesi değerlerle kıyaslandığında anlamlı iyileşmeler olduğu saptandı. Olguların 1, 3. ve 6. ay kontrol VAS değerleri, girişim öncesi VAS değerlerine göre anlamlı derecede düşük bulundu (p<0.001). Olguların 1, 3. ve 6. ay DBK testi değerlerinde de girişim öncesi DBK testi değerlerine göre istatistiksel olarak anlamlı derecede düzelme olduğu görüldü (p<0.001). Girişim öncesi VAS’a göre 1. ay kontrol VAS’da %85,71 başarı, 3. ay VAS’da %87,62 başarı ve 6. ay VAS’da %47,62 başarı elde edildi. TESE sonrası 1. ayda hastalarda %95.2, 3. ayda %93.3, 6. ayda ise %86.7 oranında hasta memnuniyeti görüldü.
SONUÇ: LDH’ne bağlı olarak gelişen radikülopatik ağrıda TESE uygulanabilecek minimal invaziv bir yöntemdir.

Keywords

Lomber disk hernisi, Transforaminal epidural steroid enjeksiyonu, Ağrı

EVALUTION OF THE EFFICACY OF TRANSFORAMINAL EPIDURAL STEROID INJECTION IN NON-OPERATED SINGLE LEVEL LUMBAR DISC HERNIATIONS

Abstract

OBJECTIVE: Transforaminal epidural steroid injection (TESE), which is one of the minimally invasive procedures in lumbar disc herniations (LDH), can significantly reduce the pain of patients. In our study, it was aimed to evaluate the efficacy of TESE in patients with radiculopathic symptoms and single-distance LDH who did not undergo surgery.
MATERIAL AND METHODS: Medical records of patients who underwent TESE between 2007 and 2011 were reviewed retrospectively. Visual analog scale (VAS), straight leg lift (DBK) test, and patient satisfaction scores were evaluated before and after the TESE procedure in the first 6 months of follow-up.
RESULTS: 105 patients (21 men, 84 women) were evaluated. When the control VAS and DBK test values were compared with the pre-intervention values, and significant improvements were detected. The 1st, 3rd, and 6th-month control VAS values of the cases were found to be significantly lower than the pre-intervention VAS values (p<0.001). It was observed that there was a statistically significant improvement in the 1st, 3rd, and 6th-month DBC test values of the cases compared to the pre-intervention DBC test values (p<0.001). According to the pre-interventional VAS, 85.71% success was achieved in the 1st -month control VAS, 87.62% success in the 3rd month VAS and 47.62% in the 6th month VAS. After TESE, patient satisfaction was 95.2% in the 1st month, 93.3% in the 3rd month, and 86.7% in the 6th month.
CONCLUSIONS: TESE is a minimally invasive method that can be applied in radiculopathic pain due to LDH.

Keywords

Lumbar disc hernia, Transforaminal epidural steroid injection, Pain

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