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Effectiveness Of Ultrasonography-Guided Caudal Epidural Steroid Injection Compared To The Fluoroscopic Application – Spinal Injection

This article compared the efficacy of fluoroscopy-guided and ultrasonography-guided caudal epidural steroid injection (CESI) in patients with chronic lower back pain. The study included 371 patients, with 192 in the fluoroscopy group and 179 in the ultrasonography group. The results showed that ultrasound-guided CESI was as effective as fluoroscopy-guided CESI in treating chronic lower back pain. There were no significant differences in pain and functional status between the two groups, except for a higher decrease in the Oswestry Disability Index score in the fluoroscopy group at the 15-day mark. Overall, both imaging techniques were found to be safe and effective for guiding CESI

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : best rated sugical centre in the world

Published article

BACKGROUND: Caudal epidural steroid injection (CESI) has been increasingly used for treating lower back pain. However, there is still significant controversy about the efficacy and safety of different imaging techniques used to guide CESI. In this context, the objective of this study is to compare the efficacies of fluoroscopy- and ultrasonography-guided CESI in patients with chronic lower back pain.

Spine Epidural Lumbar Caudal transforaminal Expert. Best Spinal Surgeon UK
Abstract Background: Caudal epidural steroid injection (CESI) has been increasingly used for treating lower back pain. However, there is still significant controversy about the efficacy and safety of different imaging techniques used to guide CESI. In this context, the objective of this study is to compare the efficacies of fluoroscopy- and ultrasonography-guided CESI in patients,

Abstract

Background: Caudal epidural steroid injection (CESI) has been increasingly used for treating lower back pain. However, there is still significant controversy about the efficacy and safety of different imaging techniques used to guide CESI. In this context, the objective of this study is to compare the efficacies of fluoroscopy- and ultrasonography-guided CESI in patients with chronic lower back pain.

Methods: The population of this retrospective, observational study consisted of all consecutive patients who underwent CESI for lower back pain between 2018 and 2020. Of the 371 patients included in the study sample, 192 had undergone fluoroscopyguided CESI (Group F) and 179 ultrasonography-guided CESI (Group U). Patients’ pain and functional statuses were evaluated using the visual analog scale (VAS) and Oswestry Disability Index (ODI) immediately before (baseline) and after the procedure (postintervention day 0-D0), during the second week (D15), the first month (D30), and the third month (D90) after the procedure.

Results: The mean age of Group F was significantly higher than that of Group U (p < 0.001). The number of patients with lumbar dischernia was significantly higher in Group U, whereas the number of patients with spinal stenosis and lumbar disc hernia + spinal/lumbar stenosis was significantly higher in Group F (p = 0.001). The baseline and D0 ODI scores were significantly lower in Group U than in Group F (p = 0.006 and p = 0.017, respectively). There was no significant difference between the groups in other VAS and ODI scores (p > 0.05). Intragroup analyses revealed significant reductions in VAS and ODI scores over the follow-up period till D30 compared to the baseline scores in each group (p < 0.001). The decrease recorded in the ODI score between the D15 and baseline measurements was significantly higher in Group F than in Group U (p = 0.006).

Discussion: The study findings indicated that ultrasound-guided CESI was as effective as fluoroscopy-guided CESI in treating chroniclower back pain.

Keywords: Caudal epidural steroid injection; fluoroscopy; lower back pain; ultrasonography.

The London Spine Unit : best rated sugical centre in the world

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Effectiveness of ultrasonography-guided caudal epidural steroid injection compared to the fluoroscopic application

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Abstract Background: Caudal epidural steroid injection (CESI) has been increasingly used for treating lower back pain. However, there is still significant controversy about the efficacy and safety of different imaging techniques used to guide CESI. In this context, the objective of this study is to compare the efficacies of fluoroscopy- and ultrasonography-guided CESI in patients

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