Caudal Epidural Steroid Injections in Postlaminectomy Patients: Comparison of Ultrasonography and Fluoroscopy

被引：14

作者：

Akkaya, Taylan ^{[1
]}

Ozkan, Derya ^{[1
]}

Kertmen, Hayri ^{[2
]}

Sekerci, Zeki ^{[2
]}

机构：

[1] Diskapi Yildirim Beyazit Training & Res Hosp, Dept Anaesthesiol, Pain Clin, Ankara, Turkey

[2] Diskapi Yildirim Beyazit Training & Res Hosp, Dept Neurosurg, Ankara, Turkey

来源：

TURKISH NEUROSURGERY | 2017年 / 27卷 / 03期

关键词：

Caudal injection; Postlaminectomy pain; Steroid; RADIATION-EXPOSURE; ULTRASOUND; SURGERY;

D O I：

10.5137/1019-5149.JTN.16171-15.1

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

AIM: To compare the results of ultrasound and fluoroscopy guided caudal epidural steroid injections in postlaminectomy patients. MATERIAL and METHODS: Thirty postlaminectomy patients were randomly divided into two groups, Group I (n=15) received ultrasound-guided and Group II (n=15) received fluoroscopy-guided caudal epidural local anesthetic and steroid injection. Time of block for each patient 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. RESULTS: The caudal block performed with both methods resulted in similar improvement in low back pain and functions. Time of block was shorter in Group I than in Group II (6.06 +/- 0.88 minutes versus 11.2 +/- 1.14 minutes). CONCLUSION: 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.

引用

页码：420 / 425

页数：6

共 20 条

[1] Anatomic Consideration of Caudal Epidural Space: A Cadaver Study [J].

Aggarwal, Anjali ;

Kaur, Harjeet ;

Batra, Yatindra K. ;

Aggarwal, Aditya K. ;

Rajeev, Subramanyam ;

Sahni, Daisy .

CLINICAL ANATOMY, 2009, 22 (06) :730-737

[2] Feasibility and safety of ultrasound-guided caudal epidural glucocorticoid injections [J].

Blanchais, Anne ;

Le Goff, Benoit ;

Guillot, Pascale ;

Berthelot, Jean-Marie ;

Glemarec, Joelle ;

Maugars, Yves .

JOINT BONE SPINE, 2010, 77 (05) :440-444

[3] Ultrasound as a Screening Tool for Proceeding With Caudal Epidural Injections [J].

Chen, Carl P. ;

Wong, Alice M. ;

Hsu, Chih-Chin ;

Tsai, Wen-Chung ;

Chang, Chen-Nen ;

Lin, Shih-Cherng ;

Huang, Yin-Cheng ;

Chang, Chih-Hsiang ;

Tang, Simon F. .

ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2010, 91 (03) :358-363

[4] Epidural Steroids A Comprehensive, Evidence-Based Review [J].

Cohen, Steven P. ;

Bicket, Mark C. ;

Jamison, David ;

Wilkinson, Indy ;

Rathmell, James P. .

REGIONAL ANESTHESIA AND PAIN MEDICINE, 2013, 38 (03) :175-200

[5] The Oswestry Disability Index [J].

Fairbank, JCT ;

Pynsent, PB .

SPINE, 2000, 25 (22) :2940-2952

[6] Risk factors related to accidental intravascular injection during caudal anesthesia [J].

Fukazawa, Keita ;

Matsuki, Yuka ;

Ueno, Hiroshi ;

Hosokawa, Toyoshi ;

Hirose, Munetaka .

JOURNAL OF ANESTHESIA, 2014, 28 (06) :940-943

[7] Nerve Blocks for Chronic Pain [J].

Hayek, Salim M. ;

Shah, Atit .

NEUROSURGERY CLINICS OF NORTH AMERICA, 2014, 25 (04) :809-+

[8]

Herscovici D, 2000, CLIN ORTHOP RELAT R, P126

[9] Sonographically guided caudal epidural steroid injections [J].

Klocke, R ;

Jenkinson, T ;

Glew, D .

JOURNAL OF ULTRASOUND IN MEDICINE, 2003, 22 (11) :1229-1232

[10]

Manchikanti L, 2010, PAIN PHYSICIAN, V13, P509

← 1 2 →