Comparative Study of Transforaminal Versus Interlaminar Epidural Steroid Injection for Pain Management in Lumbar Prolapsed Intervertebral Disc


Authors : Dr. Anita Chouhan; Dr. Nipun Lamba; Dr. P.S. Lamba

Volume/Issue : Volume 6 - 2021, Issue 2 - February

Google Scholar : http://bitly.ws/9nMw

Scribd : https://bit.ly/3uhpKey

The popularity of epidural steroid injections in lower back pain has increased in recent years, due to better understanding of effectiveness in reducing pain and improving daily life functioning. To compare transforaminal versus interlaminar epidural steroid injection for pain management in lumbar intervertebral disc prolapsed cases. A total number of 60 patients (ASA class 1 and II) were selected randomly in two groups, thirty in each group. Group A (n=30) interlaminar group: Patients will receive inj. 2% xylocaine (4ml) +methyl prednisolone 80 mg (2ml) Group B (n=30) transforaminal group: patients will receive inj.2%xylocaine (1ml) +methyl prednisolone 40 mg (1ml) The parameters including pulse rate, non invasive systolic and diastolic blood pressure, SpO2, Primary objective To see improvement in Japanese orthopaedic association (JOA) score from baseline to 1 and at 6 month Secondary objective- To see the side effects, if any The Japanese orthopaedic association scoring and rate of improvement after injection at 1,3 and 6 months of injection follow up were found effective by transforaminal route than interlaminar results were statistically significant between both the groups (p<0.05). No significant side effects were seen in both the groups. The management of low back pain due to prolapsed lumbar intervertebral disc by injecting methyl prednisone in epidural space is satisfactory in current study. Both the techniques are effective but transforaminal route is more effective

Keywords : Epidural, Low Back Pain, Prolapsed Intervertebral Disc

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