Comparison of the results of combined epidural steroid injection with other approaches in lumbar disc herniation a retrospective study
| dc.contributor.author | Yüksel, Mehmet Onur | |
| dc.contributor.author | Ay Kolutek, Bilgehan | |
| dc.contributor.author | Besnek, Atakan | |
| dc.contributor.author | Erdoğan, Barış | |
| dc.date.accessioned | 2025-11-10T09:56:32Z | |
| dc.date.available | 2025-11-10T09:56:32Z | |
| dc.date.issued | 2024 | |
| dc.department | İstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Beyin ve Sinir Cerrahisi Ana Bilim Dalı | |
| dc.description.abstract | Background: Epidural steroid injection (ESI) is a minimally invasive treatment for lumbar disc herniation (LDH). It can be applied using a transforaminal (TFESI), interlaminar (ILESI), caudal (CESI), or combined (TFESI + CESI) approach. Aim: To compare the effectiveness of the three ESI approaches and the combined ESI application in reducing pain in patients with single or multi-level LDH. Methods: In this retrospective study, we included 239 patients diagnosed with LDH (who complained of low back pain for at least 3 months, had no neurological deficit or history of lumbar surgery, and were not contraindicated for ESI application) who received ESI and were followed up clinically for 2 years. Demographic (age, sex, body mass index (BMI)) and clinical data (duration of low back pain, visual analog scale (VAS) scores before and after ESI, and procedure-related information) were obtained from medical records. The VAS scores noted before treatment and at 3 months, 1 year, and 2 years after ESI were compared. Results: The post-treatment VAS scores of the combined ESI (TFESI + CESI) group were significantly lower than those of other approaches applied alone (P < 0.05). Furthermore, VAS scores of the ILESI and CESI groups were significantly lower than those of the TFESI group at all three post-treatment time points (P < 0.05). The patient’s age and BMI were weakly correlated with the post-treatment VAS scores. Conclusion: Combined ESI is more effective than any single-approach ESI in LDH and should be considered in suitable patients to increase treatment effectiveness. | |
| dc.identifier.citation | Yüksel, M. O., Ay Kolutek, B., Besnek, A. ve Erdoğan, B. (2024). Comparison of the results of combined epidural steroid injection with other approaches in lumbar disc herniation a retrospective study. Nigerian Journal of Clinical Practice, 27(10), 1135-1140. http://dx.doi.org/10.4103/njcp.njcp_47_24 | |
| dc.identifier.doi | 10.4103/njcp.njcp_47_24 | |
| dc.identifier.endpage | 1140 | |
| dc.identifier.issn | 1119-3077 | |
| dc.identifier.issn | 2229-7731 | |
| dc.identifier.issue | 10 | |
| dc.identifier.scopus | 2-s2.0-85208535066 | |
| dc.identifier.scopusquality | Q2 | |
| dc.identifier.startpage | 1135 | |
| dc.identifier.uri | http://dx.doi.org/10.4103/njcp.njcp_47_24 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12511/13183 | |
| dc.identifier.volume | 27 | |
| dc.identifier.wos | WOS:001346003200005 | |
| dc.identifier.wosquality | Q3 | |
| dc.indekslendigikaynak | Web of Science | |
| dc.indekslendigikaynak | Scopus | |
| dc.institutionauthor | Yüksel, Mehmet Onur | |
| dc.institutionauthorid | 0000-0003-0922-4249 | |
| dc.language.iso | en | |
| dc.relation.ispartof | Nigerian Journal of Clinical Practice | |
| dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | |
| dc.rights | info:eu-repo/semantics/embargoedAccess | |
| dc.subject | Anesthetics | |
| dc.subject | Low Back Pain | |
| dc.subject | Steroids | |
| dc.title | Comparison of the results of combined epidural steroid injection with other approaches in lumbar disc herniation a retrospective study | |
| dc.type | Article |
