Efficacy of epidural steroid injections and evaluation of surgical and anesthetic approaches in far-lateral disc herniations

Gurbuz H., Secer M., Gokbel A.

PAIN MANAGEMENT, vol.13, pp.95-104, 2023 (ESCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 13
  • Publication Date: 2023
  • Doi Number: 10.2217/pmt-2022-0035
  • Journal Name: PAIN MANAGEMENT
  • Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, CINAHL, EMBASE, MEDLINE
  • Page Numbers: pp.95-104
  • Keywords: discectomy, epidural injections, general anesthesia, herniated disc, intervertebral disc, pain management, regional anesthesia, LUMBAR, MANAGEMENT, DIAGNOSIS
  • Kocaeli University Affiliated: Yes

Abstract

Aim: To observe the long-term effect of epidural steroid injections (ESI) and describe surgical outcomes in patients with far-lateral lumbar disc herniations. Materials & methods: The medical records of 30 patients who underwent surgery for far-lateral lumbar disc herniations were reviewed. Results: ESI outcomes: pain scores decreased significantly after ESI (p = 0.004). The surgery was delayed for 13.78 +/- 8.59 months in patients who received ESI. Surgical outcomes: the improvement in the leg pain was considerably more significant than the back pain (p < 0.001). While motor deficit improved substantially (p < 0.001), there was persistent sensory dysesthesia. Conclusion: ESI does not prevent but may delay the surgery up to 28 months. Although postoperative pain scores were significantly decreased, there was persistent back pain and sensory paresthesia.