2007
DOI: 10.1097/01.bot.0000211162.43982.55
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Correlation of Spinal Canal Dimensions to Efficacy of Epidural Steroid Injection in Spinal Stenosis

Abstract: Spinal canal dimension is not predictive of success or failure of ESI in patients with spinal stenosis.

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Cited by 46 publications
(53 citation statements)
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“…In the prospective study performed by Rivest et al [58], 38% of patients with lumbar canal stenosis (n = 105) reported improvement compared with 61% of disc herniation patients (n = 107). In a prospective study reported by Campbell et al [15], 84 patients with lumbar canal stenosis received an ESI once a week for 3 weeks, performed without fluoroscopy, using an interlaminar approach. With a minimum of 24 months of follow-up, 50 patients had surgical decompression after ESI and 34 (40.5%) had relief of their symptoms without surgery at the latest follow-up.…”
Section: Resultsmentioning
confidence: 99%
“…In the prospective study performed by Rivest et al [58], 38% of patients with lumbar canal stenosis (n = 105) reported improvement compared with 61% of disc herniation patients (n = 107). In a prospective study reported by Campbell et al [15], 84 patients with lumbar canal stenosis received an ESI once a week for 3 weeks, performed without fluoroscopy, using an interlaminar approach. With a minimum of 24 months of follow-up, 50 patients had surgical decompression after ESI and 34 (40.5%) had relief of their symptoms without surgery at the latest follow-up.…”
Section: Resultsmentioning
confidence: 99%
“…Likewise, a number of articles discuss the effectiveness of TFESIs in patients with spinal stenosis [29303132]; according to these articles, there is a dearth of evidence regarding the effectiveness of TFESIs for the radicular pain that is caused by the spinal stenosis. In addition, in a previous study, the severity of the spinal stenosis is not significantly different for the patients with the improvement compared with the patients without the improvement [33]. …”
Section: Discussionmentioning
confidence: 96%
“…Parr et al, reviewed the evidence on interlaminar epidural injections, none of which used fluoroscopic guidance. (69) Two randomized trials (70, 71) and one blinded observational study(72) met eligibility criteria for lumbar spinal stenosis, and none showed positive short or long-term benefit on pain. A more recent, small RCT using fluoroscopic guidance and a control group that did not receive a placebo injection found a short term (2 weeks) effect of one interlaminar epidural corticosteroids injection on both pain and function when administered in addition to oral diclofenac and twice daily stretching and strengthening home exercises.…”
Section: Treatment Options (Table 3)mentioning
confidence: 99%