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Efficacy of epidural steroid injection in elderly patients: does diagnosis affect treatment success

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dc.contributor.authorSAÇAKLIDIR, REKİB
dc.contributor.authorŞENCAN, SAVAŞ
dc.contributor.authorsOlgun Y., SAÇAKLIDIR R., Okumus Y., ŞENCAN S., Guenduez O. H.
dc.date.accessioned2023-05-02T08:15:36Z
dc.date.available2023-05-02T08:15:36Z
dc.date.issued2023-01-01
dc.description.abstractIntroduction: Epidural steroid injections are a preferred interventional pain treatment for patients with low back pain. Our aim was to investigate the effectiveness of epidural steroid injections treatment in elderly patients and to examine the effect of patients\" diagnosis on the treatment success.Materials and Methods: Patients over the age of 65 who underwent epidural injections between January 2020 and January 2022 were retrospectively screened. The patients were divided into three groups according to their diagnosis: disc herniation, spinal stenosis, and failed back surgery syndrome. Numeric rating scale scores of all patients before the procedure, at three weeks, and at three months were noted.Results: A total of 234 patients were included in the study. Of these, 89 had disc herniation, 98 had spinal stenosis, and 47 had a history of failed back surgery. There were no significant differences between the groups in terms of age, gender, symptom duration, pre-procedural pain score, medical treatment, radiation dose, and procedure duration. Although a significant improvement was detected in pain scores at all follow-ups in all groups, these scores were found to be significantly lower in the disc herniation group than the spinal stenosis and failed back surgery groups at the three-week and month follow-ups.Conclusions: Epidural steroid injections has been found to be effective in back pain in elderly. In addition, elderly patients with disc herniation had a better response to treatment than those with spinal stenosis and failed back surgery. Further prospective and long-term follow-up studies are needed to support these results.
dc.identifier.citationOlgun Y., SAÇAKLIDIR R., Okumus Y., ŞENCAN S., Guenduez O. H., "EFFICACY OF EPIDURAL STEROID INJECTION IN ELDERLY PATIENTS: DOES DIAGNOSIS AFFECT TREATMENT SUCCESS?", TURKISH JOURNAL OF GERIATRICS-TURK GERIATRI DERGISI, cilt.26, sa.1, ss.20-26, 2023
dc.identifier.doi10.29400/tjgeri.2023.327
dc.identifier.endpage26
dc.identifier.issn1304-2947
dc.identifier.issue1
dc.identifier.startpage20
dc.identifier.urihttps://avesis.marmara.edu.tr/api/publication/9fafed96-6816-49ce-a27f-291dad100ebf/file
dc.identifier.urihttps://hdl.handle.net/11424/289018
dc.identifier.volume26
dc.language.isoeng
dc.relation.ispartofTURKISH JOURNAL OF GERIATRICS-TURK GERIATRI DERGISI
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectDahili Tıp Bilimleri
dc.subjectİç Hastalıkları
dc.subjectGeriatri
dc.subjectSağlık Bilimleri
dc.subjectMedicine
dc.subjectInternal Medicine Sciences
dc.subjectInternal Diseases
dc.subjectGeriatrics
dc.subjectHealth Sciences
dc.subjectGERİATRİ ve GERONTOLOJİ
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectGERONTOLOJİ
dc.subjectGERIATRICS & GERONTOLOGY
dc.subjectCLINICAL MEDICINE
dc.subjectClinical Medicine (MED)
dc.subjectGERONTOLOGY
dc.subjectGerontoloji
dc.subjectGeriatri ve Gerontoloji
dc.subjectGerontology
dc.subjectGeriatrics and Gerontology
dc.subjectAged
dc.subjectLow Back Pain
dc.subjectInjections
dc.subjectEpidural
dc.subjectSpinal Stenosis
dc.subjectFailed Back Surgery Syndrome
dc.subjectAged
dc.subjectLow Back Pain
dc.subjectInjections
dc.subjectEpidural
dc.subjectSpinal Stenosis
dc.subjectFailed Back Surgery Syndrome
dc.titleEfficacy of epidural steroid injection in elderly patients: does diagnosis affect treatment success
dc.typearticle
dspace.entity.typePublication
local.avesis.id9fafed96-6816-49ce-a27f-291dad100ebf
local.indexed.atWOS
local.indexed.atSCOPUS
relation.isAuthorOfPublication8d87dcc0-80e3-4393-96af-4790ce1ceb29
relation.isAuthorOfPublication0541c742-2e3a-46ec-8370-0a7e705cf536
relation.isAuthorOfPublication.latestForDiscovery8d87dcc0-80e3-4393-96af-4790ce1ceb29

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