19 Harley St, London, W1G 9QJ, UK

Evaluation Of Fluoroscopically Guided Transforaminal Selective Nerve Root Sleeve Injections For Lumbar Spinal Stenosis With Radiculopathy Utilizing Patient Reported Outcome Measurement Information System As An Outcome Measure London Spine Lumbar Stenosis

The article evaluates the therapeutic effect of transforaminal selective nerve root sleeve injections (TFSNRIs) in patients with spinal stenosis. A total of 176 patients with radicular leg pain and clinical features consistent with spinal stenosis were included in the retrospective study. The study found that while there was a statistically significant improvement in pain after the TFSNRIs, there was no clinically significant improvement in patients’ function or depression at short- and long-term follow-up. These results suggest that TFSNRIs may not provide significant benefits for patients with lumbar spinal stenosis

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : most experienced spinal clinic in the world

Published article

CONCLUSIONS: Although a statistically significant difference was observed for improvement in pain, in this retrospective study, TFSNRI did not provide clinically significant improvement in patients’ function, pain, or depression for lumbar spinal stenosis at short- and long-term follow-up.

Spine Lumbar Spinal Stenosis Expert. Best Spinal Surgeon UK
Abstract Objective: To evaluate the therapeutic effect of transforaminal selective nerve root sleeve injections (TFSNRIs) in a specific subset of patients with clinical symptoms and presentation consistent with spinal stenosis DESIGN: Retrospective review SETTING: tertiary academic spine center. Participants: A total of 176 patients with radicular leg pain with or without low back pain as,

Abstract

Objective: To evaluate the therapeutic effect of transforaminal selective nerve root sleeve injections (TFSNRIs) in a specific subset of patients with clinical symptoms and presentation consistent with spinal stenosis DESIGN: Retrospective review SETTING: tertiary academic spine center.

Participants: A total of 176 patients with radicular leg pain with or without low back pain as well as ≥3 clinical features of spinal stenosis and corroborative radiographic features of spinal stenosis on lumbar spine magnetic resonance imaging without confounding spinal pathology.

Interventions: fluoroscopically guided transforaminal selective nerve root sleeve injections MAIN OUTCOME MEASURES: Patient Reported Outcome Measurement Information System (PROMIS) Physical Function (PF) v1.2/v2.0, Pain Interference (PI) v1.1, and PROMIS (D) v1.0 were collected at baseline and post-procedure short-term (< 3-months) and long-term (6-12 month) follow-up. Statistical analysis comparing baseline and postprocedural PROMIS scores was performed. Differences were compared to previously established minimal clinically important differences in the spine population.

Results: For patients with spinal stenosis treated with TFSNRI no statistically significant improvement was observed short- and long-term follow-up in PROMIS PF (p= 0.97, 0.77) and PROMIS Depression (p= 0.86, 0.85) scores. At short-term follow-up, PROMIS PI scores did significantly improve (p= 0.01) but the average difference of pre- and post-procedure scores did not reach clinical significance. No significant difference in PROMIS PI was noted at long-term follow-up (0.75).

Conclusions: Although a statistically significant difference was observed for improvement in pain, in this retrospective study, TFSNRI did not provide clinically significant improvement in patients’ function, pain, or depression for lumbar spinal stenosis at short- and long-term follow-up.

Keywords: Lumbar spinal stenosis; PROMIS; Patient Reported Outcomes; transforaminal selective nerve root sleeve injections.

The London Spine Unit : most experienced spinal clinic in the world

Read the original publication:

Evaluation of Fluoroscopically Guided Transforaminal Selective Nerve Root Sleeve Injections for Lumbar Spinal Stenosis with Radiculopathy Utilizing Patient Reported Outcome Measurement Information System as an Outcome Measure

Doctors Specialising in Dynamic Spine Stabilisation Surgery
Mr Mo Akmal MD
Mr Mo Akmal, MD, stands as a innovator in the ...

Related Posts

0/5 (0 Reviews)

Trusindex Reviews

London Spine Unit Harley Street Hospital

A Focus on High Quality Specialised Care

We are a specialist Private Hospital based on Harley Street, London UK The Harley Street Hospital, Day Surgery Hospital

We provide exclusive health services for individuals seeking Advanced medical, non-surgical or minimally invasive treatments. We are covered by All Insurance Companies apart from AXA PPP

Our Medical Director and Lead Spinal Surgeon Mr Mo Akmal MD is a world renowned Spine Specialist Consultant with over 20 years of experience. He and his team have developed revolutionary techniques to perform all types of Spinal Surgery as a Day Case procedure without traditional General Anaesthetic.

We are constantly improving our techniques for treatment and improving facilities for our patients.

Book your Appointment Now 
Check out our Reviews 
Check out our Patient Videos 
Check our Mr Akmal’s Profile

 

What our patients say ...

Abstract Objective: To evaluate the therapeutic effect of transforaminal selective nerve root sleeve injections (TFSNRIs) in a specific subset of patients with clinical symptoms and presentation consistent with spinal stenosis DESIGN: Retrospective review SETTING: tertiary academic spine center. Participants: A total of 176 patients with radicular leg pain with or without low back pain as

Revolutionary Keyhole surgical technique to vaporise bulging discs

Dr Mo Akmal Medical Director
Dr Mo Akmal MD - Lead Spinal Surgeon

Laser Disc Surgery can be performed under local anaesthetic at The Harley Street Hospital.

Initial Consultation

with Consultant Spine Surgeon
£ 250
  • No Waiting Times
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion
  • Review of Previous Scans and Reports

Follow up Consultation

any appointment after initial consultation
£ 180
  • Top NHS affiliated Consultant
  • Includes Clinical Review and Report
  • Multidisciplinary discussion

High Resolution MRI Scan

any Single Region (3.0 Tesla)
£ 600
  • No waiting times
  • Includes Full Radiologist Report
  • Open or Closed MRI scan types
  • Copy of Scan on CD

Website Offer

Pre-Booked Online
£1130
£ 800
  • Initial Consultation
  • MRI Scan (Single Region)
  • Follow Up consultation
  • Same Day One Stop Visit
  • Full Medical and MRI scan Report
  • Copy of scan on CD
Popular

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810