Is ultrasound-guided caudal steroid injection effective in the management of lower lumbar radicular pain? A two-center prospective observational study on 150 patients
| العنوان: | Is ultrasound-guided caudal steroid injection effective in the management of lower lumbar radicular pain? A two-center prospective observational study on 150 patients |
|---|---|
| المؤلفون: | Simon Rio, Guillaume Coiffier, Benoit Le Goff, Pascal Guggenbuhl, François Robin, Christelle Darrieutort-Laffite, Jean-David Albert |
| المساهمون: | CHU Pontchaillou [Rennes], Nutrition, Métabolismes et Cancer (NuMeCan), Université de Rennes (UR)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Centre hospitalier universitaire de Nantes (CHU Nantes), Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Rennes 1 (UR1), Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES) |
| المصدر: | Joint Bone Spine Joint Bone Spine, 2020, 87 (4), pp.364-365. ⟨10.1016/j.jbspin.2019.11.006⟩ Joint Bone Spine, Elsevier Masson, 2020, 87 (4), pp.364-365. ⟨10.1016/j.jbspin.2019.11.006⟩ |
| بيانات النشر: | HAL CCSD, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | musculoskeletal diseases, medicine.medical_specialty, Steroid injection, Injections, Epidural, caudal hiatus epidural injection, 03 medical and health sciences, 0302 clinical medicine, Lumbar, Rheumatology, medicine, Humans, Lower lumbar radicular pain, 030212 general & internal medicine, Prospective Studies, ultrasound-guided, Radiculopathy, Ultrasonography, Interventional, 030203 arthritis & rheumatology, Lumbar Vertebrae, business.industry, Joint bone, medicine.disease, Ultrasound guided, 3. Good health, [SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system, Radicular pain, [SDV.SP.PHARMA]Life Sciences [q-bio]/Pharmaceutical sciences/Pharmacology, Observational study, Steroids, Radiology, business, Low Back Pain |
| الوصف: | International audience; Lower lumbar radicular pain is a benign and frequent condition, mostly induced by disk herniation or osteoarthritis. The management of lower lumbar radicular pain is a public health problem, with multimodal management. Lumbar epidural steroid injections are considered as a treatment but their effectiveness remains controversial, with conflicting results. Injection via the caudal hiatus route (CH) under ultrasound (US) guidance has gained popularity because of accessibility or US equipment, absence of irradiation, feasibility and very few complications reported.A pragmatic prospective observational two-center (Rennes and Nantes University Hospitals) study was performed to evaluate the effectiveness of a single steroid (cortivazol) epidural injection delivered under US guidance via the CH on lower lumbar radicular pain. The primary outcome for success was achieving a numerical pain rating scale score (NPRS ≤ 3/10 at day 30 (D30) after epidural injection. The secondary endpoints were achieving a NPRS ≤ 3/10 at D30 without opiates and NSAIDs, level of analgesic and NSAIDs consumption, absence from work and occurrence of adverse events. Factors related to efficacy were not well established. |
| اللغة: | English |
| تدمد: | 1297-319X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a5a5b79217b011b702095c1b7fbd0af0Test https://univ-rennes.hal.science/hal-02442527/documentTest |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....a5a5b79217b011b702095c1b7fbd0af0 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1297319X |
|---|