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Predictive factors for treatment success of transforaminal epidural steroid injection in lumbar disc herniation-induced sciatica

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dc.contributor.authorGÜNDÜZ, OSMAN HAKAN
dc.contributor.authorsSencan, Savas; Celenlioglu, Alp Eren; Asadov, Ruslan; Gunduz, Osman Hakan
dc.date.accessioned2022-04-25T00:11:46Z
dc.date.available2022-04-25T00:11:46Z
dc.date.issued2020
dc.description.abstractBackground/aim: The aim of this study was to identify predictive factors for treatment success in transforaminal epidural steroid injection in patients with lumbar disc herniation-induced sciatica. Materials and methods: A total of 219 patients who were diagnosed with unilateral sciatica and underwent transforaminal epidural steroid injections at the level of L4-5, L5-S1, or S1 neural foramina between March 2016 and May 2018 were retrospectively analyzed. The presence of transitional vertebrae and the grade of nerve root compression were evaluated by a radiologist. Data including age, sex, body mass index, duration of symptoms, injection levels, and pain scores were recorded. Pain scores were evaluated using the numerical rating scale. Treatment success was defined as a >= 50% decrease in pain scores at 3 months. Results: The study included 118 female and 101 male patients with a mean age of 43.65 +/- 12.18 years. The mean duration of symptoms was 25.64 +/- 2.17 weeks. Although the duration of symptoms was longer in patients for whom treatment failed, it did not reach statistical significance. Decreased pain scores at 1 h had a significant effect on treatment success (p = 0.012, odds ratio (OR): 1.015, 95% confidence interval (CI), 1.003-1.026). Conclusions: Our study results suggest that a decreased pain score at 1 h is a predictor for a favorable three-month response to transforaminal epidural steroid injection in patients with lumbar disc herniation-induced sciatica.
dc.identifier.doi10.3906/sag-1908-167
dc.identifier.eissn1303-6165
dc.identifier.issn1300-0144
dc.identifier.pubmed31742372
dc.identifier.urihttps://hdl.handle.net/11424/263965
dc.identifier.wosWOS:000514283600017
dc.languageeng
dc.publisherTUBITAK SCIENTIFIC & TECHNICAL RESEARCH COUNCIL TURKEY
dc.relation.ispartofTURKISH JOURNAL OF MEDICAL SCIENCES
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectEpidural injection
dc.subjectherniated disc
dc.subjectlow back pain
dc.subjectback pain with radiation
dc.subjectmagnetic resonance imaging sciatica
dc.subjectLOW-BACK-PAIN
dc.subjectRADICULAR PAIN
dc.subjectMRI-FINDINGS
dc.subjectDOUBLE-BLIND
dc.subjectOUTCOMES
dc.titlePredictive factors for treatment success of transforaminal epidural steroid injection in lumbar disc herniation-induced sciatica
dc.typearticle
dspace.entity.typePublication
local.avesis.idf748be46-1e14-46a4-8475-f46bc6af5b7a
local.import.packageSS39
local.indexed.atWOS
local.journal.numberofpages6
local.journal.quartileQ4
oaire.citation.endPage131
oaire.citation.issue1
oaire.citation.startPage126
oaire.citation.titleTURKISH JOURNAL OF MEDICAL SCIENCES
oaire.citation.volume50
relation.isAuthorOfPublication99eab134-696e-4f08-ad55-8a621e9cc6c2
relation.isAuthorOfPublication.latestForDiscovery99eab134-696e-4f08-ad55-8a621e9cc6c2

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