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Does facet tropism negatively affect the response to transforaminal epidural steroid injections? A prospective clinical study

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dc.contributor.authorGÜNDÜZ, OSMAN HAKAN
dc.contributor.authorsCelenlioglu, Alp Eren; Sencan, Savas; Gunduz, Osman Hakan
dc.date.accessioned2022-03-12T22:38:06Z
dc.date.available2022-03-12T22:38:06Z
dc.date.issued2019
dc.description.abstractObjectiveTo examine the impact of the presence of facet tropism on the results of transforaminal epidural steroid injection for unilateral radicular pain induced by lumbar disc herniation.Materials and MethodsWe included 112 patients diagnosed with unilateral, single-level lumbar disc herniation-induced radicular pain. Injection was planned at relevant levels. The patients were assessed using the Numerical Rating Scale, the Modified Oswestry Disability Index, and the Beck Depression Inventory before the injection and at hour 1, week 3, and month 3 after the injection. Presence of facet tropism was assessed by measuring the facet angles in the L3-4, L4-5, and L5-S1 segments of lumbar MRI T2 sequence axial section.ResultsA significant decrease in the Numerical Rating Scale and an increase in the Modified Oswestry Disability Index scores were detected at all follow-ups in groups comprising 39 patients with and 61 without facet tropism (p<0.05). On comparison, improvement in clinical parameters at week 3 and month 3 in the group without facet tropism was greater (p<0.05). As treatment success is considered to be a 50% reduction in the Numerical Rating Scale scores, 55.2% of the patients attained treatment success at month 3. Further, although the treatment success rate in the group with facet tropism was 34.2%, it was 69% in that without facet tropism (p<0.05).ConclusionFacet tropism correlates with less success of transforaminal epidural steroid injection; therefore, facet tropism may be a worthwhile measurement in a discussion with patients of the benefits of the procedure.
dc.identifier.doi10.1007/s00256-018-3129-8
dc.identifier.eissn1432-2161
dc.identifier.issn0364-2348
dc.identifier.pubmed30603772
dc.identifier.urihttps://hdl.handle.net/11424/235483
dc.identifier.wosWOS:000468285100006
dc.language.isoeng
dc.publisherSPRINGER
dc.relation.ispartofSKELETAL RADIOLOGY
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectLumbar radicular pain
dc.subjectTransforaminal epidural steroid injection
dc.subjectFacet tropism
dc.subjectLUMBAR DISC HERNIATION
dc.subjectINTERVERTEBRAL DISC
dc.subjectEFFICACY
dc.subjectORIENTATION
dc.subjectSAFETY
dc.subjectJOINTS
dc.subjectSPINE
dc.subjectRISK
dc.subjectPAIN
dc.titleDoes facet tropism negatively affect the response to transforaminal epidural steroid injections? A prospective clinical study
dc.typearticle
dspace.entity.typePublication
local.avesis.idcb9bc393-aeb4-4046-9d42-f5f1dff8b5f6
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages8
local.journal.quartileQ3
oaire.citation.endPage1058
oaire.citation.issue7
oaire.citation.startPage1051
oaire.citation.titleSKELETAL RADIOLOGY
oaire.citation.volume48
relation.isAuthorOfPublication99eab134-696e-4f08-ad55-8a621e9cc6c2
relation.isAuthorOfPublication.latestForDiscovery99eab134-696e-4f08-ad55-8a621e9cc6c2

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