Epidural application of steroids Part 1 – Patient profile before application

Czech version

Authors: J. Cabadaj; J. Hóborová; M. Prokopová
Authors‘ workplace: Neurologická ambulance, Karlovarská krajská nemocnice a. s., Nemocnice Cheb
Published in: Cesk Slov Neurol N 2019; 82(6): 682-687
Category: Original Paper
doi: https://doi.org/10.14735/amcsnn2019682

Overview

Aim: As an alternative to surgical treatment of discogenic radicular pain following the failure of conventional conservative treatments, minimally invasive procedures are available, including epidural steroid injections (ESIs).

Patients and methods: The aim of the study was to find out and examine profiles of patients coming in for ESISs. Three hundred-forty patients were divided into the “D” – group of adult patients (aged 18–64 years) and the “S” – group of seniors (aged ≥ 65).

Results: Apart from the different average age, the results discovered in both groups were as comparable as when being divided into the groups according to the degree of their disabilities. In both groups, women predominated in the 1.4 : 1 and 2 : 1 ratios, resp. The average pain score was 4.9 and 55, resp. Oswestry Disability Index (ODI) was 40.3 and 40%, resp. Transforaminal ESI to caudal ESI ratio was 3 : 1 in both groups. More then 80 % of the patiens were in moderate and severe disability groups and ESI indications seem adequate. In both groups, the pain score increased according to the increasing degree of disability of the patiens. Compared to the literature data, patients in the cited studies were mostly younger and reported higher pain scores.

Conclusion: Pain assessment and the ODI questionnaire should be included in any entry examination of patiens with vertebrogenic pain as they will help in choosing an adequate treatment course.

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

硬膜外应用类固醇激素第1部分–应用前的患者资料

目的：对于常规保守治疗失败后的椎间盘源性根性疼痛，可采用微创手术治疗，包括硬膜外类固醇注射(ESIs)。
患者和方法：这项研究的目的是确定和检查来自ESISs的病人的资料。 340例患者分为成人患者“ D”组（18-64岁）和老年人（“≥65岁”）“ S”组。
结果：除平均年龄不同外，两组的结果均与根据残疾程度分为两组的结果具有可比性。在这两组中，女性分别占1.4：1和2：1的比例。平均疼痛的评分分别为4.9和55。 Oswestry残疾指数（ODI）分别为40.3和40％。两组的经椎间孔ESI与尾ESI之比为3：1。超过80％的患者属于中度和重度残疾组，ESI适应症似乎足够。两组患者的疼痛评分均随着患者残疾程度的增加而增加。与文献数据相比，被引用研究中的患者大多为年轻人，并且疼痛评分更高。
结论：对于椎源性疼痛患者的入院检查应包括疼痛评估和ODI问卷调查，因为这将有助于选择适当的治疗方案。
关键词：硬膜外类固醇注射–患者概况– Oswestry残疾指数调查表

Keywords:

epidural steroid injection – patient profile – Oswestry Disability Index questionnaire

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