TY  - JOUR
TI  - EFFICACY OF EPIDURAL STEROID INJECTION  IN ELDERLY PATIENTS: DOES DIAGNOSIS  AFFECT TREATMENT SUCCESS?
AB  - Introduction: 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.
AU  - Sencan, Savas
AU  - olgun, yücel
AU  - saçaklıdır, rekib
AU  - Okumuş, Yasin
AU  - Gunduz, Osman
DO  - 10.29400/tjgeri.2023.327
PY  - 2023
JO  - Türk Geriatri Dergisi
VL  - 26
IS  - 1
SN  - 1304-2947
SP  - 20
EP  - 26
DB  - TRDizin
UR  - http://search/yayin/detay/1176823
ER  -