The London Spine Unit : most advanced day surgery hospital in London
Published article
CONCLUSIONS: Trimacinolone acetonide injection into the ligamentum flavum may be effective for lumbar spinal stenosis that does not improve with epidural steroid injections.
Lumbar Disc Replacement Expert. Best Spinal Surgeon UK
Abstract
Background: Lumbar spinal stenosis is a common degenerative disease that causes low back and lower-extremity pain that increases with age. The treatment of lumbar spinal stenosis is either conservative or surgical. Epidural steroid injection is a commonly performed conservative treatment, but evidence of its effectiveness in lumbar spinal stenosis is limited.
Case series: We encountered the three patients with back pain and claudication due to lumbar spinal stenosis, which could not be controlled by conservative therapy including epidural steroid injections. Trimacinolone acetonide was injected into the patients’ ligamentum flavum. All patients experienced dramatic improvement in their symptoms.
Conclusions: Trimacinolone acetonide injection into the ligamentum flavum may be effective for lumbar spinal stenosis that does not improve with epidural steroid injections.
Keywords: Epidural steroid injection; Ligamentum flavum; Lumbar spinal stenosis; Triamcinolone acetonide.
The London Spine Unit : most advanced day surgery hospital in London
Read the original here:
A new technique for controlling intractable pain in lumbar spinal stenosis using steroid injection to ligamentum flavum: A case series