Comparison of the eficacy of epidural steroid injection applied 
in cervical and lumbar regions

Kanar, Meltem; Cetingok, Halil

doi:10.14744/agri.2022.46872

Comparison of the eficacy of epidural steroid injection applied in cervical and lumbar regions

Halil ÇETİNGÖK, (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Anesteziyoloji Anabilim Dalı, İstanbul, Türkiye)

Meltem KANAR (Elazığ Fethi Sekin Şehir Hastanesi, Anesteziyoloji Anabilim Dalı, Elazığ, Türkiye)

Ağrı

2 0

Yıl: 2022 Cilt: 34 Sayı: 1 Sayfa Aralığı: 54 - 59 Metin Dili: İngilizce DOI: 10.14744/agri.2022.46872 İndeks Tarihi: 04-07-2022

Comparison of the eficacy of epidural steroid injection applied in cervical and lumbar regions

Öz:

Objectives: Epidural injections have been used for many years in the treatment of chronic pain in patients with chronic backleg pain and chronic neck-arm pain. We aimed to compare the efficacy of lumbar and cervical epidural steroid injections on pain palliation, duration of pain relief and patient satisfaction. Methods: This is a Retrospective, observational single-center study. A total of 159 patients (96 females, 63 males) who were performed epidural steroid injections in cervical and lumbar regions were included in the study. The patients were divided into two groups as lumbar epidural steroid injection “Group 1” and cervical epidural steroid injection “Group 2”. We retrospectively evaluated the patients for numerical rating scale (NRS) prior and after the injection, the duration of the pain relief, whether any complication occured related to injection and patient satisfaction. Results: 130 patients in Group 1 and 29 patients in Group 2 were evaluated. Median NRS before the procedure: 8 in Group 1, 7 in Group 2 and median NRS after the procedure: 3 in Group 1, 4 in group 2. Patient satisfaction with the procedure 56.15% in Group 1 and 48.62% in Group 2. Mean duration of pain relief 7.23 months in Group 1 and 8.17 months in Group 2. There were no statistically significant difference in the evaluated parameters between the two groups. Conclusion: It was observed that the pain relief, duration of pain relief and patient satisfaction were similar for cervical and lumbar epidural steroid injections.

Anahtar Kelime:

Servikal ve lomber bölgelere uygulanan epidural steroid enjeksiyonunun etkinliğininkarşılaştırılması

Öz:

Amaç: Epidural enjeksiyonlar, kronik bel-bacak ağrısı ve kronik boyun-kol ağrısı olan hastalarda kronik ağrı tedavisinde uzun yıllardır kullanılmaktadır. Lomber ve servikal epidural steroid enjeksiyonlarının ağrı palyasyonu, ağrı sağaltımı süresi ve hasta memnuniyeti üzerindeki etkinliğini karşılaştırmayı amaçladık. Gereç ve Yöntem: Bu retrospektif, gözlemsel tek merkezli bir çalışmadır. Servikal ve lomber bölgelere epidural steroid enjeksiyonu yapılan toplam 159 hasta (96 kadın, 63 erkek) çalışmaya dahil edildi. Hastalar lomber epidural steroid enjeksiyonu “Grup 1” ve servikal epidural steroid enjeksiyonu “Grup 2” olarak iki gruba ayrıldı. Hastalar enjeksiyon öncesi ve sonrası sayısal derecelendirme skalası (NRS), ağrı sağaltımı süresi, enjeksiyona bağlı gelişebilecek komplikasyonlar ve hasta memnuniyeti açısından geriye dönük olarak değerlendirildi. Bulgular: Grup 1’de 130, Grup 2’de 29 hasta değerlendirildi. İşlem öncesi medyan NRS: Grup 1’de 8, Grup 2’de 7 ve işlem sonrası medyan NRS: Grup 1’de 3, Grup 2’de 4; İşlemden hasta memnuniyeti Grup 1’de %56,15 ve Grup 2’de %48.6; ortalama ağrı sağaltımı süresi Grup 1’de 7.23 ay ve Grup 2’de 8.17 ay idi. Her iki grupta da işleme bağlı majör komplikasyon görülmedi. Değerlendirilen parametrelerde iki grup arasında istatistiksel olarak anlamlı bir fark yoktu. Sonuç: Servikal ve lomber epidural steroid enjeksiyonları için ağrı palyasyonu, ağrı sağaltım süresi ve hasta memnuniyetinin benzer olduğu gözlendi.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Cetingok H, Kanar M (2022). Comparison of the eficacy of epidural steroid injection applied in cervical and lumbar regions. , 54 - 59. 10.14744/agri.2022.46872
Chicago	Cetingok Halil,Kanar Meltem Comparison of the eficacy of epidural steroid injection applied in cervical and lumbar regions. (2022): 54 - 59. 10.14744/agri.2022.46872
MLA	Cetingok Halil,Kanar Meltem Comparison of the eficacy of epidural steroid injection applied in cervical and lumbar regions. , 2022, ss.54 - 59. 10.14744/agri.2022.46872
AMA	Cetingok H,Kanar M Comparison of the eficacy of epidural steroid injection applied in cervical and lumbar regions. . 2022; 54 - 59. 10.14744/agri.2022.46872
Vancouver	Cetingok H,Kanar M Comparison of the eficacy of epidural steroid injection applied in cervical and lumbar regions. . 2022; 54 - 59. 10.14744/agri.2022.46872
IEEE	Cetingok H,Kanar M "Comparison of the eficacy of epidural steroid injection applied in cervical and lumbar regions." , ss.54 - 59, 2022. 10.14744/agri.2022.46872
ISNAD	Cetingok, Halil - Kanar, Meltem. "Comparison of the eficacy of epidural steroid injection applied in cervical and lumbar regions". (2022), 54-59. https://doi.org/10.14744/agri.2022.46872

APA	Cetingok H, Kanar M (2022). Comparison of the eficacy of epidural steroid injection applied in cervical and lumbar regions. Ağrı, 34(1), 54 - 59. 10.14744/agri.2022.46872
Chicago	Cetingok Halil,Kanar Meltem Comparison of the eficacy of epidural steroid injection applied in cervical and lumbar regions. Ağrı 34, no.1 (2022): 54 - 59. 10.14744/agri.2022.46872
MLA	Cetingok Halil,Kanar Meltem Comparison of the eficacy of epidural steroid injection applied in cervical and lumbar regions. Ağrı, vol.34, no.1, 2022, ss.54 - 59. 10.14744/agri.2022.46872
AMA	Cetingok H,Kanar M Comparison of the eficacy of epidural steroid injection applied in cervical and lumbar regions. Ağrı. 2022; 34(1): 54 - 59. 10.14744/agri.2022.46872
Vancouver	Cetingok H,Kanar M Comparison of the eficacy of epidural steroid injection applied in cervical and lumbar regions. Ağrı. 2022; 34(1): 54 - 59. 10.14744/agri.2022.46872
IEEE	Cetingok H,Kanar M "Comparison of the eficacy of epidural steroid injection applied in cervical and lumbar regions." Ağrı, 34, ss.54 - 59, 2022. 10.14744/agri.2022.46872
ISNAD	Cetingok, Halil - Kanar, Meltem. "Comparison of the eficacy of epidural steroid injection applied in cervical and lumbar regions". Ağrı 34/1 (2022), 54-59. https://doi.org/10.14744/agri.2022.46872