Transforaminal versus interlaminar CT-guided lumbar epidural steroid injections: prospective study of 237 patients with unilateral radicular pain and up to 5 years of follow-up
| dc.rights.license | open | en_US |
| dc.contributor.author | BISE, Sylvain | |
| dc.contributor.author | LANGLET, Benjamin | |
| dc.contributor.author | PESQUER, Lionel | |
| dc.contributor.author | POUSSANGE, Nicolas | |
| dc.contributor.author | SILVESTRE, Alain | |
| hal.structure.identifier | Centre de résonance magnétique des systèmes biologiques [CRMSB] | |
| dc.contributor.author | DALLAUDIERE, Benjamin | |
| dc.date.accessioned | 2023-11-16T09:02:39Z | |
| dc.date.available | 2023-11-16T09:02:39Z | |
| dc.date.issued | 2023-10-01 | |
| dc.identifier.issn | 1432-2161 | en_US |
| dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/184803 | |
| dc.description.abstractEn | To compare the efficacy of the transforaminal approach (TFA) versus the interlaminar approach (ILA) for CT-guided epidural steroid injection (CTESI) in the treatment of persistent lumbosacral radicular pain (LRP > 6 weeks) with long-term follow-up. Patients were prospectively assessed for pain by visual analogue scale (VAS) and functional disability (Oswestry Disability Index, (ODI)) before treatment, then 6 weeks (6W), 6 months (6 M), and 5 years (5Y) after CTESI. Overall, n = 237 patients (TFA, n = 71 and ILA, n = 166) were included, and 96 patients had 5 years of follow-up. Both groups showed a statistically significant improvement in VAS and ODI values at 6W (TFA, n = 60 and ILA, n = 146, P < 0.001 for both), at 6 M (TFA, n = 34 and ILA, n = 96, P < 0.001 for both), and at 5Y (TFA, n = 32 and ILA, n = 64, P < 0.001 for both). No significant differences were observed between the two approaches in VAS or ODI decreases at 6W (P = 0.38 and P = 0.33 respectively), 6 M (P = 0.13 and P = 0.51 respectively), or 5Y (P = 0.15 and P = 0.57 respectively). No major complications were noted. Outcomes after CTESI by ILA approaches are similar to those by TFA for the treatment of persistent LRP. | |
| dc.language.iso | EN | en_US |
| dc.subject.en | Humans | |
| dc.subject.en | Prospective Studies | |
| dc.subject.en | Follow-Up Studies | |
| dc.subject.en | Treatment Outcome | |
| dc.subject.en | Low Back Pain | |
| dc.subject.en | Radiculopathy | |
| dc.subject.en | Steroids | |
| dc.subject.en | Tomography | |
| dc.subject.en | X-Ray Computed | |
| dc.subject.en | Injections | |
| dc.subject.en | Epidural | |
| dc.subject.en | Lumbar Vertebrae | |
| dc.title.en | Transforaminal versus interlaminar CT-guided lumbar epidural steroid injections: prospective study of 237 patients with unilateral radicular pain and up to 5 years of follow-up | |
| dc.title.alternative | Skeletal Radiol | en_US |
| dc.type | Article de revue | en_US |
| dc.identifier.doi | 10.1007/s00256-023-04290-y | en_US |
| dc.subject.hal | Sciences du Vivant [q-bio] | en_US |
| dc.subject.hal | Sciences de l'ingénieur [physics] | en_US |
| dc.identifier.pubmed | 36729210 | en_US |
| bordeaux.journal | Skeletal Radiology | en_US |
| bordeaux.page | 1959-1967 | en_US |
| bordeaux.volume | 52 | en_US |
| bordeaux.hal.laboratories | Centre de Résonance Magnétique des Systèmes Biologiques (CRMSB) - UMR 5536 | en_US |
| bordeaux.issue | 10 | en_US |
| bordeaux.institution | Université de Bordeaux | en_US |
| bordeaux.institution | CNRS | en_US |
| bordeaux.peerReviewed | oui | en_US |
| bordeaux.inpress | non | en_US |
| bordeaux.import.source | pubmed | |
| hal.identifier | hal-04288605 | |
| hal.version | 1 | |
| hal.date.transferred | 2023-11-16T09:02:41Z | |
| hal.popular | non | en_US |
| hal.audience | Internationale | en_US |
| hal.export | true | |
| workflow.import.source | pubmed | |
| dc.rights.cc | Pas de Licence CC | en_US |
| bordeaux.COinS | ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Skeletal%20Radiology&rft.date=2023-10-01&rft.volume=52&rft.issue=10&rft.spage=1959-1967&rft.epage=1959-1967&rft.eissn=1432-2161&rft.issn=1432-2161&rft.au=BISE,%20Sylvain&LANGLET,%20Benjamin&PESQUER,%20Lionel&POUSSANGE,%20Nicolas&SILVESTRE,%20Alain&rft.genre=article |
Fichier(s) constituant ce document
| Fichiers | Taille | Format | Vue |
|---|---|---|---|
|
Il n'y a pas de fichiers associés à ce document. |
|||