ESRA Academy. Akkaya T. Sep 8, 2016; 138471; 0328 Topic: PAIN THERAPY (ACUTE - CHRONIC)
Taylan Akkaya
Taylan Akkaya

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Background and Aims:

The purpose of this study was to compare the results of ultrasound- and fluoroscopy-guided caudal epidural steroid injections in postlaminectomy patients.  


Of the 30 postlaminectomy patients who were randomly divided into two groups, Group I (n=15) received ultrasound-guided and Group II (n=15) fluoroscopy-guided caudal epidural local anesthetic and steroid injection, and each patient’s time to performed block was recorded.  The patients’ Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), and satisfaction with the therapy during the 3-month follow-up were evaluated.     


The caudal block performed with both methods result in similar improvement in low back pain and functions.  Time to performed block was shorter in Group I than in Group II  (6.06 ±0.88 min versus  11.2± 1.14 min) . 


Caudal epidural steroid injection is an effective analgesic method for postlaminectomy patients. Ultrasound-guided caudal block can be as effective as fluoroscopy-guided block and even more comfortable. 

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