Role of Caudal Epidural Injection in Managing Failed Back Syndrome: One Year Follow Up Result of A Randomized Study
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 1
Abstract
Introduction: There is an increasing prevalence of low back pain in the modern era, which is associated with wide range of diagnostic and therapeutic modalities. The Spine Patient Outcomes Research Trial (SPORT) have demonstrated vast improvement in patients who have undergone surgical interventions compared to conservative treatment modalities. The present study is a one year follow up of 112 patients of post lumber surgery syndrome who suffered from chronic low back and lower extremity pain after being surgically treated for the same. Material and Methods: This prospective randomized study included 112 patients. They were divided into two groups of 56 patients each.Group I received 0.5% lignocaine, 10 mL; Group II received 8 mL of 0.5% lignocaine mixed with 2 mL of methylprednisolone. The multiple outcome measures included the numeric rating scale, the Oswestry Disability Index assessments at 3, 6, 12 months posttreatment.Atleast 50% improvement in pain and Oswestry Disability Index scores was considered as primary outcome. Successful response was considered only in cases of positive response to the first 2 procedures with at least 3 weeks of relief. All others were considered as failures. Results: Overall in Group I, 55% of the patients and in Group II, 61% of the patients, showed significant improvement with reduction in pain scores and disability index at 12 months. The results in the successful group showed that at the end of the first year patients experienced approximately 28.5 and 30.7 weeks of relief in group I and group II respectively. The average procedures in the successful groups were at 3.5 in one year. Conclusion: Caudal epidural injections of local anesthetic with or without steroid is an effective alternative to treat patients with chronic persistent low back and/or lower extremity pain in patients with post lumbar surgery syndrome.
Authors and Affiliations
Kapil Bansal, Anshul Dahuja, Sabyasachi Bhowmik, Mamta Gupta, Rash meet
Keywords
Related Articles
- EP ID EP425724
- DOI -
- Views 120
- Downloads 0
Analysis of Interstitial Lung Disease in Connective Tissue Disease by High Resolution Computerised Tomography and Diffusing Capacity for Carbon Monoxide
Introduction: Interstitial Lung disease (ILD) frequently occurs in patients with the connective tissue diseases (CTD) referred to as CTD-ILD. The purpose of this study was to correlate HRCT spectrum with spirometry and t...
Study of outcome of Minimal-access Off-pump multi-vessel CABG Using Bilateral Internal Thoracic Arteries
Introduction: Usage of Bilateral Internal Thoracic arteries (BITA) in CABG has shown excellent long term survival and a very low rate of reintervention. The use of BITA in patients with diabetes has been a matter of deba...
Neurodegenerative Brain Iron Accumulation Disorder
Introduction: We report two cases of Pentothenate KinaseAssociated Neurodegeneration (PKAN) which is a rare autosomal recessive neurodegenerative disorder with prevalence of 1 to 3 /1,000,000 having equal predisposition...
A Comparative Study of Epidual Levobupivacaine Versus Epidural Levobupivacaine with Dexmedetomedine on Analgesia and Haemodynamics
Introduction: Levobupivacaine is the S enantiomer of bupivacaine has emerged as a safe local anaesthetic than its racemic mixture counterpart bupivacaine. Dexmedetomedine is the novel selective alpha 2 agonist, Dexmedeto...
A Study of Effect of Botulinum Toxin a on Hand Functions in Patients with Spastic Disorders
Introduction: Intramuscular botulinum toxin A offers the possibility of local treatment of spasticity without affecting sensation. It is an established treatment for squint, blepharospasm, hemifacial spasm, torticollis,...