Efficacy of Epidural Steroid Injection in Elderly Patients: Does Diagnosis Affect Treatment Success?

IF 0.4 4区 医学 Q4 GERIATRICS & GERONTOLOGY
Yücel Olgun, Rekib Saçaklıdır, Yasin Okumuş, Savaş Şencan, O. Gündüz
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引用次数: 1

Abstract

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. Keywords: Aged; Low Back Pain; Injections, Epidural; Spinal Stenosis; Failed Back Surgery Syndrome.
硬膜外类固醇注射对老年患者的疗效:诊断是否影响治疗成功?
引言:硬膜外类固醇注射是腰痛患者首选的介入性疼痛治疗方法。我们的目的是研究硬膜外类固醇注射治疗老年患者的有效性,并检查患者的诊断对治疗成功的影响。材料和方法:对2020年1月至2022年1月期间接受硬膜外注射的65岁以上患者进行回顾性筛查。根据诊断将患者分为三组:椎间盘突出、椎管狭窄和背部手术失败综合征。记录所有患者在手术前、三周和三个月时的数值评定量表得分。结果:本研究共纳入234例患者。其中,89人患有椎间盘突出症,98人患有椎管狭窄,47人有背部手术失败史。两组在年龄、性别、症状持续时间、术前疼痛评分、药物治疗、辐射剂量和手术持续时间方面没有显著差异。尽管在所有组的所有随访中,疼痛评分都有显著改善,但在三周和三个月的随访中,椎间盘突出组的疼痛评分明显低于椎管狭窄组和背部手术失败组。结论:硬膜外类固醇注射已被发现对老年人背痛有效。此外,与椎管狭窄和背部手术失败的患者相比,老年椎间盘突出患者对治疗的反应更好。需要进一步的前瞻性和长期随访研究来支持这些结果。关键词:老年人;腰痛;硬膜外注射;脊髓狭窄;背部手术失败综合症。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
46
审稿时长
6-12 weeks
期刊介绍: Turkish Journal of Geriatrics is a peer-reviewed journal. Official language of the journal is English. Turkish Journal of Geriatrics invites submission of Original Articles based on clinical and laboratory studies. Review Articles are published only after the invitation from the Editorial Board.
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