Save
A RETROSPECTIVE, OBSERVACIONAL STUDY OF EPIDURAL INJECTION IN SPINAL STENOSIS IN ELDERLY: 2,5-YEAR FOLLOW-UP. EFECTIVENESS REVIEW
ESRA Academy. Lopez N. Sep 8, 2016; 138408
Topic: INTERVENTIONAL TECHNIQUES
Nerea Lopez
Nerea Lopez

Access to Premium content is currently a membership benefit.


Click here to join ESRA or renew your membership.

Abstract
Discussion Forum (0)
Rate & Comment (0)
Background and Aims:

Lumbar spinal stenosis (LSS) is a degenerative disease with a decrease in the area of the spinal canal and cause back and leg pain due to the compression of neuronal structures and intraspinal vasculature due to the narrowing of the spinal canal. LSS is quite common in people older than 65 years, and its most significant clinical symptom is intermittent neurogenic claudication.

Incially, the treatment is conservative, failing this, surgical or non-surgical modalities such as epidural injections (EI), especially at the level of affected roots and fluoroscopy are contemplated. 
We objetive is to assess the effectiveness of lumbar epidural 'blinded' injections with local anesthetic (LA) and steroids in providing effective pain relief with improvement in functional status for the management of chronic low back and lower extremity pain related to lumbar spinal stenosis in elderly.  

Methods:

Retrospective observational study is performed involving 116 patients mostly over 70 years with LSS in 5-year follow up. All patients received lumbar EI with LA (ropivacaina 0.2 %) and betamethasone 12 mg without fluroscopy. Outcomes were assessed utilizing the VAS at 1,3, 6, 12 post-treatment.  

Results:

Significant relief was seen in 63% of patients. The time of this improvement has been less than 2 months.

Conclusions:

The EI in LSS is a minimally invasive and cost effective technique compared to surgery, offering an improvement of symptoms in more than 60% with short-term duration. The fluoroscopy guidance is mandatory to improve results. The surgery could be the first step in the treatment in selected patients. 

Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.



Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.


Save Settings