Open AccessThe relationship between the grading of lumbar spinal stenosis and pain improvement after caudal epidural steroid injection.
Author(s) -
Waqas Noor Chughtai,
Muhammad Adeel Razzaque,
Tanveer Ahmad,
Sumera Nighat,
Bashir Ahmad,
Muhammad Azhar Javed
Publication year - 2021
Publication title -
pakistan journal of neurological surgery
Language(s) - English
Resource type - Journals
eISSN - 2409-5567
pISSN - 1995-8811
DOI - 10.36552/pjns.v24i4.461
Subject(s) - medicine , lumbar spinal stenosis , spinal stenosis , epidural steroid injection , neurogenic claudication , lumbar , magnetic resonance imaging , lumbosacral joint , claudication , low back pain , stenosis , surgery , back pain , anesthesia , radiology , vascular disease , arterial disease , alternative medicine , pathology
Objective: This study aimed to determine the relation of severity of lumbar spinal stenosis and pain improvement after caudal epidural injection.
Material and Methods: 70 patients of neurogenic claudication were included from July 2019 to June 2020. MRI lumbosacral spine was done of all patients to categorize the degree of spinal stenosis on T2-W axial. All patients were given caudal epidural steroid injection as a day case procedure. Follow-up was done at 3 & 8 weeks and pain improvement was assessed by using Ronald satisfaction score.
Results: Mean age was 37.9 ± 7.8 years. 48.6% patients were male and 51.6% were female. The improvement was observed in 28 patients (40%) at 3 weeks and in 46 patients (65.7%) at 8 weeks. There was no statistically significant relationship between lumbar
spinal stenosis and pain improvements at 3 weeks (p value 0.30) and 8 weeks (p value 0.32).
Conclusion: The grade of lumbar spinal stenosis has no significant effect on pain improvement after caudal epidural steroid injection.
Keywords: LSS (Lumbar spinal stenosis), caudal epidural steroid injection (ESI), neurogenic claudication, MRI (Magnetic resonance imaging), T2W (T2 weighted) images.