19 Harley St, London, W1G 9QJ, UK

Preoperative Epidural Steroid Injections and Postoperative Infections After Lumbar or Cervical Spine Surgery: A Systematic Review and Meta-Analysis – Lumbar Spinal Stenosis

A study published in Mayo Clinic Proceedings: Innovations, Quality & Outcomes aimed to determine the risk difference and prediction intervals for postoperative infections (POIs) associated with preoperative epidural steroid injections (ESIs) in adults undergoing lumbar or cervical spine surgery. The researchers conducted comprehensive database searches and included 12 studies in their systematic review, with 9 studies being part of the meta-analysis. The results showed that ESIs within 1 month of lumbar spine surgery were associated with a 0.6% greater risk of a POI, while ESIs within 1-3 months were associated with a 2.31% greater risk. In adults over 65 years, ESIs within 1 or 1-3 months were associated with a 1.3% and 0.6% greater risk, respectively. However, there was no increased risk of POI associated with ESIs within 3 months of cervical spine fusion. The study provides valuable information for shared decision-making regarding the use of ESIs before spine surgery

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : the highest rated spinal hospital on Harley Street UK

Published article

CONCLUSION: The observations of this study provide summary estimates of risk difference and 95% PIs, which could be used to support shared decision-making about the use of ESIs before cervical or lumbar spine surgery.

Lumbar Decompression Surgery Expert. Best Spinal Surgeon UK
Mayo Clin Proc Innov Qual Outcomes. 2023 Aug 21;7(5):349-365. doi: 10.1016/j.mayocpiqo.2023.07.007. eCollection 2023 Oct.ABSTRACTOBJECTIVE: To determine the risk difference and 95% prediction intervals (PIs) for postoperative infections (POIs) associated with preoperative epidural steroid injections (ESIs) in adults undergoing lumbar or cervical spine surgery.METHODS: Comprehensive database searches were conducted from inception dates through December 2023. Inclusion,

Mayo Clin Proc Innov Qual Outcomes. 2023 Aug 21;7(5):349-365. doi: 10.1016/j.mayocpiqo.2023.07.007. eCollection 2023 Oct.

ABSTRACT

OBJECTIVE: To determine the risk difference and 95% prediction intervals (PIs) for postoperative infections (POIs) associated with preoperative epidural steroid injections (ESIs) in adults undergoing lumbar or cervical spine surgery.

METHODS: Comprehensive database searches were conducted from inception dates through December 2023. Inclusion criteria included all study designs involving adults receiving a preoperative ESI before lumbar or cervical decompression or fusion spine surgery. Risk of bias was assessed using a modified tool developed for uncontrolled studies. The summary estimates of risk difference and the corresponding PIs were reported.

RESULTS: A total of 12 studies were included in the systematic review, of which 9 were included in the meta-analysis. Preoperative ESIs within 1 month of lumbar spine decompression or fusion surgery were associated with a 0.6% and 2.31% greater risk of a POI, respectively. In adults ≥65 years of age, ESIs within 1 or 1-3 months of lumbar spine decompression or fusion surgery were associated with a 1.3% and 0.6% greater risk of a POI, respectively. Preoperative ESIs within 3 months of cervical spine fusion were not associated with an increased risk of a POI. The bounds of all corresponding 95% PIs were nonsignificant.

CONCLUSION: The observations of this study provide summary estimates of risk difference and 95% PIs, which could be used to support shared decision-making about the use of ESIs before cervical or lumbar spine surgery.

PMID:37655233 | PMC:PMC10466430 | DOI:10.1016/j.mayocpiqo.2023.07.007

The London Spine Unit : the highest rated spinal hospital on Harley Street UK

Read the original publication:

Preoperative Epidural Steroid Injections and Postoperative Infections After Lumbar or Cervical Spine Surgery: A Systematic Review and Meta-Analysis

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 ...

Mayo Clin Proc Innov Qual Outcomes. 2023 Aug 21;7(5):349-365. doi: 10.1016/j.mayocpiqo.2023.07.007. eCollection 2023 Oct.ABSTRACTOBJECTIVE: To determine the risk difference and 95% prediction intervals (PIs) for postoperative infections (POIs) associated with preoperative epidural steroid injections (ESIs) in adults undergoing lumbar or cervical spine surgery.METHODS: Comprehensive database searches were conducted from inception dates through December 2023. Inclusion

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