Epidural Steroid Enjeksiyonu:  Başarı Tahmin Edilebilir mi?

Alihan Derincek; Evren Eker; Ayşin Pourbagher; Murat Bekir Çınar; Metin Özalay

doi:10.5505/agri.2011.93898

Alihan Derincek^¹, Evren Eker^², Ayşin Pourbagher^³, Murat Bekir Çınar^¹, Metin Özalay^¹

¹Baskent University School Of Medicine, Department Of Orthopedics And Traumatology, Adana Medical Center, Adana, Turkey.
²Baskent University School Of Medicine, Department Of Anesthesiology And Pain Medication, Adana Medical Center, Adana, Turkey
³Baskent University School Of Medicine, Department Of Radiology, Adana Medical Center, Adana, Turkey

Keywords: epidural injection, disc herniation, percent canal compromise

Abstract

Introduction: The aim of this study is to determine the relation between the percent of canal compromise and success rate of epidural steroid injection (ESI) in patients with lumbar herniated intervertebral discs.

Material and Methods: Patients with lumbar herniated intervertebral disc suffered from leg pain and treated with ESI were selected. The axial MRI showing the largest canal compromise by the herniated disc was selected for measurements. The canal and herniation area measurement were calculated from the number of pixels per cross-sectional area, multiplied by a scan correction factor, mm2 /pixel. The percent canal compromise was obtained by disc herniation area divided by canal cross-section area and multiplied by 100. For pain assessment, VAS was used before (pre-injection VAS) and a month after ESI (post-injection VAS). Demographic data, duration of symptoms, location and type of herniation were noted.

Results: 39 patients were included in this study. Mean age was 50. 21 of cases also had back pain. Mean percent canal compromise ratio was 36,1%. Mean duration of symptoms was 19,4 months. The post-injection VAS was significantly decreased when compared with pre-injection VAS (p<0,0001) and this significance was related with if duration of symptoms shorter than 3 months (p=0,021). There was a significant negative correlation between percent canal compromise and post-injection VAS (p=0,042). There was no correlation between post-injection VAS and age, sex, location and type of herniation (p>0.05).

Conclusion: The patient had shorter duration of symptoms and high percent of canal compromise could have more benefit from ESI.

BibTex	`@article{ agri914, doi = {10.5505/agri.2011.93898}, author = {Alihan Derincek, Evren Eker, Ayşin Pourbagher, Murat Bekir Çınar, Metin Özalay}, title = {Epidural Steroid Enjeksiyonu: Başarı Tahmin Edilebilir mi?}, journal = {Agri}, year = {2011}, volume = {23}, number = {4}, pages = {147-152}, publisher = {The Turkish Society of Algology} }`
RIS	`TY - JOUR AU - Alihan Derincek, Evren Eker, Ayşin Pourbagher, Murat Bekir Çınar, Metin Özalay PY - 2011 TI - Epidural Steroid Enjeksiyonu: Başarı Tahmin Edilebilir mi? SP - 147 EP - 152 JO - The Journal of the Turkish Society of Algology J2 - Agri VL - 23 IS - 4 PB - DO - 10.5505/agri.2011.93898 ER -`
EndNote	`%0 Journal Article %A Alihan Derincek, Evren Eker, Ayşin Pourbagher, Murat Bekir Çınar, Metin Özalay %T Epidural Steroid Enjeksiyonu: Başarı Tahmin Edilebilir mi? %J The Journal of the Turkish Society of Algology %D 2011 %V 23 %N 4 %P 147-152 %R 10.5505/agri.2011.93898`
APA	Alihan Derincek, Evren Eker, Ayşin Pourbagher, Murat Bekir Çınar, Metin Özalay (2011). Epidural Steroid Enjeksiyonu: Başarı Tahmin Edilebilir mi?. The Journal of the Turkish Society of Algology, 23(4), 147-152. doi:10.5505/agri.2011.93898
MLA	Alihan Derincek, Evren Eker, Ayşin Pourbagher, Murat Bekir Çınar, Metin Özalay. "Epidural Steroid Enjeksiyonu: Başarı Tahmin Edilebilir mi?" The Journal of the Turkish Society of Algology, vol. 23, no. 4, 2011, pp. 147-152. doi:10.5505/agri.2011.93898.
Chicago	Alihan Derincek, Evren Eker, Ayşin Pourbagher, Murat Bekir Çınar, Metin Özalay. "Epidural Steroid Enjeksiyonu: Başarı Tahmin Edilebilir mi?" The Journal of the Turkish Society of Algology 23, no. 4 (2011): 147-152. https://doi.org/10.5505/agri.2011.93898.
AMA	Alihan Derincek, Evren Eker, Ayşin Pourbagher, Murat Bekir Çınar, Metin Özalay. Epidural Steroid Enjeksiyonu: Başarı Tahmin Edilebilir mi?. Agri. 2011; 23(4): 147-152. doi:10.5505/agri.2011.93898.
Vancouver	Alihan Derincek, Evren Eker, Ayşin Pourbagher, Murat Bekir Çınar, Metin Özalay. Epidural Steroid Enjeksiyonu: Başarı Tahmin Edilebilir mi?. Agri. 2011; 23(4): 147-152. doi:10.5505/agri.2011.93898

Lumbar Epidural Steroid Injection: Is the Success Rate Predictable?

Abstract

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