Epidurographic Findings Following Percutaneous Epidural Adhesiolysis Did not Correlate with Stage of Ache Discount in Sufferers with Lumbar Spinal Stenosis.
Ache Med. 2017 Could 01;18(5):842-845
Authors: Hong Park C, Ho Lee S
Background: Spinal stenosis is characterised by narrowing of the spinal canal, with mechanical compression of spinal nerve roots. The latter might trigger low again ache and/or leg ache, in addition to neurogenic claudication. Epidural steroid injection is often used to deal with sufferers with lumbar spinal stenosis (LSS), however percutaneous epidural adhesiolysis has been utilized when signs show refractory. Our aim was to evaluate the connection between enchancment proven on epidurogram and subjective affected person response to adhesiolysis.
Strategies: For this potential examine, 78 sufferers with degenerative LSS had been enrolled. Every topic underwent magnetic resonance imaging of the lumbar backbone, with all therapeutic procedures performed within the working room. Two weeks later, a second epidurography was carried out. Second epidurography was performed to evaluate any change in epidural filling defects. Consequence measures had been obtained utilizing the visible analogue scale (VAS) rating at two weeks, one month, and three months post-treatment.
Outcomes: The entire 78 examine contributors (imply age = 60.9 years, vary = 34-85 years) displayed epidural filling defects at baseline. After percutaneous adhesiolysis, epidurographic filling defects had been absent in 73% of sufferers. Within the presence or absence of filling defects, imply VAS scores had been 5.2 and four.5, respectively, at two weeks’ follow-up. No vital correlation between postprocedural VAS rating and standing of filling defects (sure or no) was evident throughout the three-month follow-up interval.
Conclusion: In sufferers with LSS, epidurographic findings following percutaneous epidural adhesiolysis didn’t correlate with degree of ache discount achieved.
PMID: 27651508 [PubMed – indexed for MEDLINE]