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Factors associated with the outcome of transforaminal epidural steroid injections

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Author(s)
Tae Kyu ParkJi Hee HongJin Mo KimJeong In BaeAe Ra KimHan-Min LeeYong-Cheol Lee
Keimyung Author(s)
Hong, Ji HeeKim, Jin MoBae, Jung InKim, Ae RaLee, Yong Cheol
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
Korean Journal of Anesthesiology
Issued Date
2008
Volume
55
Issue
3
Abstract
Background: This study was undertaken to assaythe effectiveness of transforaminal epidural steroid injections (TFESIs) for
sciatica and to identify potential predictors related to treatment outcome.
Methods: TFESIs were performed in 150 patients between August 2006 and March 2007. Seventy-five patients (35 women,
40 men; mean age, 59.1 years), who met the inclusion criteria, were studied. Therapeutic effects were evaluated twoweeks after
injection. The following potential outcome predictors analyzed were as follows: one level vs. two level injection, Beck depression
inventory score (<13, 14−19, >20), Beck anxiety inventory score (<7, 8−15, >16), cause of radiculopathy (spinal stenosis
vs. herniated disk), gender, duration of radiculopathy (<6 months, 6−12 months, >6 months), and Oswestry disability index
score (<30, 31−60, >60). The relationships between possible outcome predictors and therapeutic effects were evaluated.
Results: Forty-nine of the 75 patients (65.3%) had a satisfactory result two weeks after TFESIs. Of these, twenty-four of
the 46 patients (52.2%) were treated by a one level injection and 25 (89.3%) of the 29 patients were treated by a two level
injection. This outcome was statistically significant (P < 0.01). None of the other potential outcome predictors showed any
statistical difference.
Conclusions: TFESI is recommended as an effective method of managing radiculopathy. Two-level injectionsmay result in
a better outcome than a one-level injection. (Korean J Anesthesiol 2008; 55: 298~304)
Keimyung Author(s)(Kor)
홍지희
김진모
배정인
김애라
이용철
Publisher
School of Medicine
Citation
Tae Kyu Park et al. (2008). Factors associated with the outcome of transforaminal epidural steroid injections. Korean Journal of Anesthesiology, 55(3), 298–304. doi: 10.4097/kjae.2008.55.3.298
Type
Article
ISSN
2005-6419
DOI
10.4097/kjae.2008.55.3.298
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38514
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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