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Transforaminal epidural steroid enjeksiyonunun lomber spinal stenozda tanı ve tedavi uygulaması
2020
Journal:  
Şişli Etfal Hastanesi Tıp Bülteni
Author:  
Abstract:

Giriş: Transforaminal epidural steroid enjeksiyonu uygulaması bel ve bacak ağrısı şikayetini azaltmakta ve günlük aktiviteye dönmeyi sağlamaktadır. Çalışmamızda yaygın olarak lomber disk hernisi tedavisi için uygulanan transforaminal epidural steroid enjeksiyonunun lomber spinal stenoz tedavisinde uygulanmasını inceledik ve lomber spinal stenozda tanısal yaklaşımdaki tecrübelerimizi ortaya koyduk. Yöntem: Çalışmamıza; Haziran 2014 ile Haziran 2018 arasında kliniğimizde Evre B lomber spinal stenoz tanısı ile transforaminal epidural steroid enjeksiyonu uygulanan 37 hasta dahil edildi. Hastalar uygulama öncesinde ve uygulamadan sonra 2.hafta ve 3./6. ay ve 1. yılda Oswestry Disability Index and Visual Analog Skala ile değerlendirildi. Uygulamadan bir yıl sonra cerrahi tedavi yönünden incelendi. Bulgular: Hastaların ortalama Visual Analog Skalası uygulama öncesinde 5.1±0.3, iki hafta sonra 2.7±0.1, 3 ay sonra 2.8±0.2 ve 6 ay sonra 3.1±0.1 idi. Visual Analog Skalasındaki iyileşmenin uygulama öncesine göre 2 hafta sonra ve sırası ile 3 ve 6 aydaki değişiminin istatistiksel olarak anlamlı olduğu tespit edildi. Ortalama Oswestry Disability Index’I uygulama öncesi ve sırası ile 2 hafta sonra, 3,6 ay sonra 29.6±0.4, 14.1±0.3, 15.3±0.5, 24.4±0.2 idi. Oswestry Disability Index değişiminin de uygulama öncesine göre istatistiksel olarak anlamlı olduğu tespit edildi. Sonuç: Transforaminal epidural steroid enjeksiyonu, lomber spinal stenozun cerrahi olmayan tedavisi için güvenli uygulamadır ve bu uygulama lomber spinal stenozun cerrahi tedavi tanısına destek olarak tercih edilebilir. (SETB-2019-12-153)

Keywords:

Diagnosis and treatment of transforaminal epidural steroid injection in lombal spinal stenosis
2020
Author:  
Abstract:

Introduction: The application of the transforaminal epidural steroid injection reduces the complaint of back and leg pain and allows you to return to daily activity. In our study we studied the application of transforaminal epidural steroid injection widely applied for the treatment of lombary spinal stenosis, and we revealed our experience in the diagnostic approach in lombary spinal stenosis. Method: Our study included 37 patients in our clinic between June 2014 and June 2018 with transforaminal epidural steroid injection with phase B lombary spinal stenosis diagnosis. Patients are 2 weeks before and after the application and 3/6. The Oswestry Disability Index and Visual Analog Scale. A year after the operation, the surgical treatment was examined. Results: The average Visual Analog Scale of patients was 5.1±0.3 before application, 2.7±0.1 after two weeks, 2.8±0.2 after 3 months and 3.1±0.1 after 6 months. The improvement in the Visual Analog Scale was found to be statistically meaningful 2 weeks later than before application and the change in the 3 and 6 months in a row. The average Oswestry Disability Index was 29.6±0.4, 14.1±0.3, 15.3±0.5, 24.4±0.2 after 2 weeks before and after application, 3.6 months after. The Oswestry Disability Index has also been found to be statistically meaningful as previously applied. The result: Transforaminal epidural steroid injection is a safe application for non-chirurgical treatment of lombal spinal stenosis and this application can be preferred as a support for the diagnosis of surgery of lombal spinal stenosis. (SETB-2019-12-153)

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Şişli Etfal Hastanesi Tıp Bülteni

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

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Şişli Etfal Hastanesi Tıp Bülteni