scholarly journals CAUDAL EPIDURAL STEROIDS; OUTCOME IN LUMBER DISC HERNIATION

2015 ◽  
Vol 20 (09) ◽  
pp. 1111-1115
Author(s):  
Dr. Malik Yasin Awan ◽  
Dr. Mohammad Amjad
Keyword(s):  
Disc Herniation ◽  
Lumber Disc Herniation ◽  
Epidural Steroids ◽  
Caudal Epidural

scholarly journals Three Cases Reports of the Lumber Disc Herniation Extruded to the Dorsal Epidural Space.

1991 ◽  
Vol 40 (1) ◽  
pp. 194-197
Author(s):  
Shinichi Harada ◽  
Takayoshi Torigoshi ◽  
Hiroaki Konishi ◽  
Shinichirou Hara ◽  
Keiji Mihara ◽  
...  
Keyword(s):  
Disc Herniation ◽  
Epidural Space ◽  
Lumber Disc Herniation

scholarly journals Combination of caudal epidural steroids with oral gabapentin for radicular low back pain: a prospective observational study

2019 ◽  
Vol 5 (1) ◽  
pp. 5-10
Author(s):  
Grisuna Singh ◽  
Binod Thapa ◽  
Kiran Gurung ◽  
Nirmal Gyawali
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Observational Study ◽  
Prospective Observational Study ◽  
Low Back ◽  
Socioeconomic Condition ◽  
Psychological Burden ◽  
Epidural Steroids ◽  
Caudal Epidural

Introduction: The physical, socioeconomic and psychological burden of low back pain is enormous. The poor socioeconomic condition and geographical constrains confines people to limited health facilities. The objective of the study was to evaluate whether combination of caudal epidural steroids with local anaesthetics and gabapentin is effective for radicular low back pain in the rural Nepal setting. Methods: It was a prospective observational study including 300 patients with radicular low back pain done over a period of 6 months (13/4/2016 to 30/10/2016). All participants received caudal epidural steroid injection (6ml 2% Xylocaine with adrenaline plus Depomedroxy steroid 80mg plus 12 ml distilled water) and 200 mg gabapentin daily for three months. All patients were followed up for three months and were evaluated. Results: Mean age of presentation was 41.21 years (SD ± 11.02) with majority of farmers (42.31%). Mean Numerical Rating Scale at the baseline was 8.01(SD±1.00) and at the first follow up was 3.98 (SD±0.83) (p <0.001). Mean Oswestry Disability Index at baseline was7.85 (SD±0.98) and at the first follow up was 4.04 (SD±0.80) (p <0.001). Straight Leg Raising Test at baseline was less than 70° in 84.7% which improved to more than 70° in 87.9% of the patients (p-value <0.001). Conclusion: Caudal epidural steroids combined with gabapentin is safe, economical and technically less demanding. This treatment modality can be used with good outcomes in the rural areas with limited diagnostic and therapeutic facilities.

scholarly journals Pre-surgical Clinical and MRI Findings of Multiple Level Lumber Disc Herniation.

1994 ◽  
Vol 43 (4) ◽  
pp. 1342-1344
Author(s):  
Koichiro Toyota ◽  
Hirotsugu Oda ◽  
Shinya Kawai ◽  
Masayuki Urano ◽  
Ken'ichi Morinobu ◽  
...  
Keyword(s):  
Disc Herniation ◽  
Multiple Level ◽  
Mri Findings ◽  
Lumber Disc Herniation

Gene Expression Changes in Dorsal Root Ganglion of Rat Experimental Lumber Disc Herniation Models

Spine ◽  
2008 ◽  
Vol 33 (17) ◽  
pp. 1829-1835 ◽  
Author(s):  
Bunji Takayama ◽  
Miho Sekiguchi ◽  
Shoji Yabuki ◽  
Isami Fujita ◽  
Hideaki Shimada ◽  
...  
Keyword(s):  
Gene Expression ◽  
Dorsal Root Ganglion ◽  
Disc Herniation ◽  
Dorsal Root ◽  
Lumber Disc Herniation

Prophylactic antibiotics and wound infections following laminectomy for lumber disc herniation

1975 ◽  
Vol 43 (6) ◽  
pp. 727-731 ◽  
Author(s):  
Norman H. Horwitz ◽  
James A. Curtin
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Antibacterial Agents ◽  
Lumbar Disc ◽  
Perioperative Period ◽  
Prophylactic Antibiotics ◽  
Wound Infections ◽  
Content Type ◽  
Lumber Disc Herniation ◽  
Minor Infection

✓ The authors review 531 consecutive operations for lumbar disc herniation performed on 496 patients by one neurosurgeon to determine the effect of prophylactic antibiotics upon postoperative wound infections. In this retrospective analysis 16 instances of sepsis were found, 11 considered to be major and five minor. In the 128 cases in which no antibacterial agents were given, 11 major and 1 minor infection occurred. Four minor infections developed in the 402 occasions when antibiotics were given in the perioperative period. Men had a significantly greater risk of developing infection than women. These data suggest that pre- and postoperative antibiotic therapy directed at a narrow spectrum of microorganisms reduced the incidence of significant wound infections in patients undergoing laminectomy for lumbar disc herniation.

scholarly journals Feasibility and Efficacy of Percutaneous Lateral Lumbar Discectomy in the Treatment of Patients with Lumbar Disc Herniation: A Preliminary Experience

2015 ◽  
Vol 2015 ◽  
pp. 1-6
Author(s):  
Wenjin Jiang ◽  
Bolin Sun ◽  
Qirui Sheng ◽  
Xuepeng Song ◽  
Yanbo Zheng ◽  
...  
Keyword(s):  
Lumbar Disc Herniation ◽  
Disc Herniation ◽  
Lumbar Disc ◽  
Japanese Orthopaedic Association ◽  
Japanese Orthopaedic Association Score ◽  
Lumbar Discectomy ◽  
Analog Scale ◽  
Association Score ◽  
Lumber Disc Herniation

Objective. This study was aimed at evaluating the effectiveness and safety of percutaneous lateral lumbar discectomy (PLLD) in treating patients with lumber disc herniation.Methods. A total of 183 patients with lumbar disc herniation were recruited to receive PLLD surgery from April 2006 to October 2011. All the adverse effects were recorded during the follow-up at 1, 3, 6, and 12 months after PLLD. The clinical outcomes were determined by visual analog scale and Japanese Orthopaedic Association score.Results. The surgery was performed successfully in all patients (102 males and 81 females aged from 21 to 66 years) with a mean 16.6-month follow-up (range from 26 to 65 months). No postoperative complications, including intestinal and vascular complications, nerve injuries, and postoperative infections, were associated with PLLD. At one month after surgery, visual analog scale (3.12±1.44versus6.76±2.31,P<0.05) was significantly lower than the baseline and was sustained until 24 months after surgery (3.25±1.78versus6.76±2.31,P<0.05). Besides that, Japanese Orthopaedic Association score (25.25±3.21versus11.78±2.38,P<0.05) was increased when compared to the baseline.Conclusions. PLLD was a promising, mini-invasive, and effective treatment for lumber disc herniation.

scholarly journals Efficacy of epidural injection of steroid in treatment of lumber disc prolapse: article review

2021 ◽  
Vol 8 (1) ◽  
pp. 10-19
Author(s):  
Musaed hekmat AL-Dahhan
Keyword(s):  
Lower Extremity ◽  
Disc Herniation ◽  
Epidural Injection ◽  
Low Back ◽  
Steroid Injections ◽  
Epidural Steroid Injections ◽  
Lower Extremity Pain ◽  
Epidural Steroid ◽  
Caudal Epidural ◽  
Corticosteroid Injections

"Chronic low back and lower extremity pain is mainly caused by lumbar disc herniation (LDH) and radiculitis. Various surgery and nonsurgical modalities, including epidural injections, have been used to treat LDH or radiculitis. Caudal epidural injection of local anesthetics with or without steroids is one of the most commonly used interventions in managing chronic low back and lower extremity pain. To describe the indications, rationale, techniques, alternatives, contraindications, complications, and efficacy of lumbar and caudal epidural corticosteroid injections. Interventions: Three reviewers with formal training and certification in evidence-based medicine searched the literature on non–image guided lumbar interlaminar epidural steroid injections. A larger team of seven reviewers independently assessed the methodology of studies found and appraised the quality of the evidence presented. A systematic literature search was performed, in the Medline Case reports and retrospective and prospective studies were extensively reviewed to provide detailed descriptions of the clinical features of lumbar and caudal epidural corticosteroid injections. Data sources included relevant literature of the English language identified through searches of PubMed and EMBASE , and manual searches of bibliographies of known primary and review articles. Epidural corticosteroid injections are commonly requested treatments for patients with various low-back or lower-extremity pain syndromes (or both). Most of the reports on the use of this type of treatment are retrospective and noncontrolled. These studies indicate benefit; however, the prospective controlled studies provide varied results about the efficacy of lumbar and caudal epidural corticosteroid injections. In conclusions: In patients with lumbar radicular pain secondary to disc herniation or neurogenic claudication due to spinal stenosis, interlaminar epidural steroid injections appear to have clinical effectiveness limited to short-term pain relief. Therefore, in a contemporary medical practice, these procedures should be restricted to the rare settings where fluoroscopy is not available."

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