Fluoroscopically guided caudal epidural steroid injections in degenerative lumbar spine stenosis.

摘要: BACKGROUND Caudal epidural steroid injections are commonly utilized to help reduce radicular pain in lumbar spinal stenosis. There have been studies done evaluate the effectiveness of this procedure non-fluoroscopically guided. Search revealed no prospective evaluating fluoroscopically guided caudal on patients with bilateral from degenerative OBJECTIVE To therapeutic benefit treatment symptomatic Degenerative Lumbar Spinal Stenosis (DLSS). DESIGN This cohort study was performed 34 stenosis who received at a multidisciplinary spine center as they did not improve conservative care. The patients' confirmed by magnetic resonance imaging and classified mild, moderate, or severe. were evaluated an independent observer completed questionnaires, prior initial injection, 6 weeks, months 12 after injections. OUTCOME MEASURES Visual analog scale, patient satisfaction standing/walking tolerance scale Oswestry low back disability questionnaire. RESULTS A total met our inclusion criteria followed months, months. Sixty-five percent 62% 54% had successful outcome, reporting least >50% reduction between pre-injection post injection visual scores. Fifty nine improved walking weeks (p <0.0001), 56% 51% (p=0.0005). standing (p= 0.0002), < 0.0001), 64% felt completely somewhat better 59% 52% Owestry questionnaire scores showed statistically significant improvement 0.0095), (p=0.00015). outcome even severe stenotic when comparing mean month =0.2956), (p=0.0250), VAS 0.0199). CONCLUSION Fluoroscopically may DLSS.