Transforaminal versus interlaminar CT-guided lumbar epidural steroid injections: prospective study of 237 patients with unilateral radicular pain and up to 5 years of follow-up
Objective To compare the efficacy of the transforaminal approach (TFA) versus the interlaminar approach (ILA) for CT-guided epidural steroid injection (CTESI) in the treatment of persistent lumbosacral radicular pain (LRP > 6 weeks) with long-term follow-up. Methods Patients were prospectively as...
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Veröffentlicht in: | Skeletal radiology 2023-10, Vol.52 (10), p.1959-1967 |
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Format: | Artikel |
Sprache: | eng |
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Zusammenfassung: | Objective
To compare the efficacy of the transforaminal approach (TFA) versus the interlaminar approach (ILA) for CT-guided epidural steroid injection (CTESI) in the treatment of persistent lumbosacral radicular pain (LRP > 6 weeks) with long-term follow-up.
Methods
Patients were prospectively assessed for pain by visual analogue scale (VAS) and functional disability (Oswestry Disability Index, (ODI)) before treatment, then 6 weeks (6W), 6 months (6 M), and 5 years (5Y) after CTESI.
Results
Overall,
n
= 237 patients (TFA,
n
= 71 and ILA,
n
= 166) were included, and 96 patients had 5 years of follow-up. Both groups showed a statistically significant improvement in VAS and ODI values at 6W (TFA,
n
= 60 and ILA,
n
= 146,
P
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ISSN: | 0364-2348 1432-2161 |
DOI: | 10.1007/s00256-023-04290-y |