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Effect of sacralization on the success of lumbar transforaminal epidural steroid injection treatment: prospective clinical trial

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dc.contributor.authorŞENCAN, SAVAŞ
dc.contributor.authorBİLİM, SERHAD
dc.contributor.authorGÜNDÜZ, OSMAN HAKAN
dc.contributor.authorsŞENCAN S., Azizov S., Celenlioglu A. E., Bilim S., GÜNDÜZ O. H.
dc.date.accessioned2023-07-06T13:09:20Z
dc.date.available2023-07-06T13:09:20Z
dc.date.issued2022-06-01
dc.description.abstractObjective The aim of this study was to invastigate the efect of the sacralization on the results of transforaminal epidural steroid injection for radicular low back pain. Materials and methods The study included 64 patients diagnosed with radicular low back pain due to unilateral and singlelevel lumbar disk herniation. Patients were divided into 2 groups: patients with sacralization (Group S) and patients without lumbosacral transitional vertebrae (Group A). Injection was applied to the relevant level. Patients were evaluated with Numeric Rating Scale and Modifed Oswestry Disability Index before, at week 3 and month 3 after the procedure. Sacralization presence was determined by MRI. Sacralization was categorized by anteroposterior lumbar radiography using Castellvi classifcation. Treatment success was considered as≥50% reduction in NRS scores. Results Numeric Rating Scale and Modifed Oswestry Disability Index scores decreased in both groups on both week 3 and month 3 (p<0.05). Pain scores of Group S (median value 5 (3–6)) were signifcantly higher than Group A ((median value 3 (0–5)) in the third month follow-up (p=0.026), but no signifcant diference was observed at other time points. There was no signifcant diference in Modifed Oswestry Disability Index scores between the groups at all follow-ups (p>0.05). Treatment success in the third month was 44.8% in Group S and 65.6% in Group A. Conclusion Transforaminal epidural steroid injection is an efective and safe method for radicular low back pain. Sacralization presence should be evaluated before treatment considering that it may be a risk factor reducing treatment success.
dc.identifier.citationŞENCAN S., Azizov S., Celenlioglu A. E., Bilim S., GÜNDÜZ O. H., "Effect of sacralization on the success of lumbar transforaminal epidural steroid injection treatment: prospective clinical trial", SKELETAL RADIOLOGY, 2022
dc.identifier.doi10.1007/s00256-022-04089-3
dc.identifier.issn0364-2348
dc.identifier.urihttps://hdl.handle.net/11424/290876
dc.language.isoeng
dc.relation.ispartofSKELETAL RADIOLOGY
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectSağlık Bilimleri
dc.subjectDahili Tıp Bilimleri
dc.subjectNükleer Tıp
dc.subjectCerrahi Tıp Bilimleri
dc.subjectOrtopedi ve Travmatoloji
dc.subjectMedicine
dc.subjectHealth Sciences
dc.subjectInternal Medicine Sciences
dc.subjectNuclear medicine
dc.subjectSurgery Medicine Sciences
dc.subjectOrthopedics and Traumatology
dc.subjectORTOPEDİ
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectRADYOLOJİ, NÜKLEER TIP ve MEDİKAL GÖRÜNTÜLEME
dc.subjectORTHOPEDICS
dc.subjectCLINICAL MEDICINE
dc.subjectClinical Medicine (MED)
dc.subjectRADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
dc.subjectOrtopedi ve Spor Hekimliği
dc.subjectRadyoloji, Nükleer Tıp ve Görüntüleme
dc.subjectRadyoloji ve Ultrason Teknolojisi
dc.subjectAyak Bakımı
dc.subjectOrthopedics and Sports Medicine
dc.subjectRadiology, Nuclear Medicine and Imaging
dc.subjectRadiological and Ultrasound Technology
dc.subjectPodiatry
dc.subjectLumbar radicular pain
dc.subjectLow back pain
dc.subjectTransforaminal epidural steroid injection
dc.subjectSacralization
dc.subjectLumbosacral transitional vertebrae
dc.subjectLUMBOSACRAL TRANSITIONAL VERTEBRAE
dc.subjectLOW-BACK-PAIN
dc.subjectRADICULAR PAIN
dc.subjectDOUBLE-BLIND
dc.subjectDEGENERATION
dc.subjectPREVALENCE
dc.subjectHERNIATION
dc.subjectLumbar radicular pain · Low back pain · Transforaminal epidural steroid injection · Sacralization · Lumbosacral transitional vertebrae
dc.titleEffect of sacralization on the success of lumbar transforaminal epidural steroid injection treatment: prospective clinical trial
dc.typearticle
dspace.entity.typePublication
local.avesis.id4b21e29e-1f8e-4f2a-bcab-a6f035f753de
local.indexed.atWOS
local.indexed.atPUBMED
local.indexed.atSCOPUS
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relation.isAuthorOfPublication.latestForDiscovery0541c742-2e3a-46ec-8370-0a7e705cf536

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