Effects of Transforaminal Injection for Degenerative Lumbar Scoliosis Combined with Spinal Stenosis

Nam, Hee-Seung; Park, Yong Bum

doi:10.5535/arm.2011.35.4.514

Cited by 24 publications

(31 citation statements)

References 37 publications

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“…Figure 1 shows a flow diagram of the study selection as recommended by Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) ( 58 ). Overall, 17 randomized trials were considered for inclusion, of which 7 met the inclusion criteria ( 29 , 30 , 67 - 71 ). Two trials were excluded due to their failure to meet the inclusion criteria; one was a low quality trial ( 72 ) and the other had a limited 6-week follow-up ( 20 ).…”

Section: Resultsmentioning

confidence: 99%

“…The methodological quality assessment of randomized controlled trials is presented in Tables 4 and 5 for fluoroscopically and non-fluoroscopically guided randomized trials. Among seven trials assessed for methodological quality, there were two high-quality trials based on both Cochrane review criteria and IPB-QRB criteria ( 29 , 30 ); two trials ( 67 , 71 ) were high-quality based on Cochrane review criteria and moderate-quality based on IPM-QRB criteria. There were two trials of moderate-quality ( 68 , 69 ) based on both Cochrane review criteria and IPM-QRB criteria.…”

Section: Resultsmentioning

confidence: 99%

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Efficacy of Epidural Injections in the Treatment of Lumbar Central Spinal Stenosis; A Systematic Review

et al. 2015

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Context:Lumbar central spinal stenosis is common and often results in chronic persistent pain and disability, which can lead to multiple interventions. After the failure of conservative treatment, either surgical or nonsurgical modalities such as epidural injections are contemplated in the management of lumbar spinal stenosis.Evidence Acquisition:Recent randomized trials, systematic reviews and guidelines have reached varying conclusions about the efficacy of epidural injections in the management of central lumbar spinal stenosis. The aim of this systematic review was to determine the efficacy of all three anatomical epidural injection approaches (caudal, interlaminar, and transforaminal) in the treatment of lumbar central spinal stenosis. A systematic review was performed on randomized trials published from 1966 to July 2014 of all types of epidural injections used in the management of lumbar central spinal stenosis. Methodological quality assessment and grading of the evidence was performed.Results:The evidence in managing lumbar spinal stenosis is Level II for long-term improvement for caudal and lumbar interlaminar epidural injections. For transforaminal epidural injections, the evidence is Level III for short-term improvement only. The interlaminar approach appears to be superior to the caudal approach and the caudal approach appears to be superior to the transforaminal one.Conclusions:The available evidence suggests that epidural injections with local anesthetic alone or with local anesthetic with steroids offer short- and long-term relief of low back and lower extremity pain for patients with lumbar central spinal stenosis. However, the evidence is Level II for the long-term efficacy of caudal and interlaminar epidural injections, whereas it is Level III for short-term improvement only with transforaminal epidural injections.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Efficacy of Epidural Injections in the Treatment of Lumbar Central Spinal Stenosis; A Systematic Review

et al. 2015

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“…Successful treatment occurred when patients obtained significant pain relief (as measured by >40% improvement in the VNS score and >20% improvement in the ODI score) and reported a patient satisfaction score of 3 or 4 points at 12 weeks after the injections [17-19]. …”

Section: Methodsmentioning

confidence: 99%

Effect of Medial Branch Block in Chronic Facet Joint Pain for Osteoporotic Compression Fracture: One Year Retrospective Study

et al. 2013

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ObjectiveTo evaluate the outcomes of medial branch block in facet joint pain for osteoporotic compression fracture and utilize multiple regression, the relationship between their impact on treatment outcome and other factor, such as the radiologic finding, clinical parameters was analyze.MethodsFifty-three patients with axial back pain from osteoporotic compression fracture were enrolled. The clinical outcomes were measured by Verbal Numeric Rating Scale (VNS) and Oswestry Disability Index (ODI) before treatment, 2 weeks, 3 months, and 12 months after the medial branch block. Radiographic analysis included measurement of overall sagittal alignment, collapsed vertebral height, and vertebral kyphotic angle. After 12 months, patients' satisfaction was classified to five categories: excellent, good, fair, poor or fail. Statistical analysis of both radiographic and clinical parameters along with treatment outcome was performed to determine any significant correlations between the two.ResultsVNS and ODI was improved 2 weeks after the injection and continued to improve until 12 months. Significant improvement with significant pain relief (>40%), functional improvement (>20%), and the patients rated their satisfaction level as "excellent" or "good" at 12 months after the first injection were observed in 78.9%. The radiographic and clinical parameters were not significantly correlated with treatment outcome.ConclusionOur retrospective study demonstrated that the medial branch block provided significant pain relief and functional recovery to the patients with osteoporotic spinal compression fractures complaining of continuous facet joint pain after vertebroplasty or conservative treatment. A placebo-controlled prospective randomized double-blind study should be conducted in the future to evaluate the treatment effects.

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“…Over‐the‐counter or prescribed analgesics, including nonsteroidal anti‐inflammatory drugs (NSAIDs) like ibuprofen, celecoxib, or acetaminophen, may ease accompanying back pain. Epidural injections can help with pain, while physical therapy may strengthen the back and increase mobility in addition to relieving pain …”

Section: Postural Disorders (Spine)mentioning

confidence: 99%

“…Epidural injections can help with pain, while physical therapy may strengthen the back and increase mobility in addition to relieving pain. 7 Camptocormia Camptocormia or "bent spine syndrome" was first described in the medical literature in the 1800s. In 1915, the French neurologists Souques and Rosanoff-Saloff first proposed the term "camptocormia" from the Greek words "kamptos" (to bend) and "kormos" (trunk).…”

mentioning

confidence: 99%

Postural, Bone, and Joint Disorders in Parkinson's Disease

Rabin

Earnhardt

Patel

et al. 2016

Movement Disord Clin Pract

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Background Stooped posture was mentioned in the original description of the characteristic features of Parkinson's disease (PD). Since then, a variety of postural, bone, and joint problems have become recognized as common aspects of the illness and deserve attention. Methods A Medline literature search for the period from 1970 to 2016 was performed to identify articles relevant to this topic. Keywords for the search included posture, spine, bone disorders, fractures, joint disorders, kyphosis, scoliosis, stooping, camptocormia, Pisa syndrome, frozen shoulder, anterocollis, dropped head syndrome, and pain in combination with PD. The articles were then reviewed to summarize clinical features, frequency, impact, pathophysiology, and treatment options for these conditions. Results Postural disorders (kyphoscoliosis, camptocormia, Pisa syndrome, dropped head syndrome), bone mineralization disorders (osteoporosis, bone fractures), and joint disorders (frozen shoulder, dystonia involving joints, joint pain) are often seen in association with PD. Treatment options for these conditions are varied and may include medications, physical therapy, or surgical interventions. Conclusions Posture, bone, and joint disorders are common in patients with PD; they often produce added disability, and they may be treatable.

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Effects of Transforaminal Injection for Degenerative Lumbar Scoliosis Combined with Spinal Stenosis

Cited by 24 publications

References 37 publications

Efficacy of Epidural Injections in the Treatment of Lumbar Central Spinal Stenosis; A Systematic Review

Efficacy of Epidural Injections in the Treatment of Lumbar Central Spinal Stenosis; A Systematic Review

Effect of Medial Branch Block in Chronic Facet Joint Pain for Osteoporotic Compression Fracture: One Year Retrospective Study

Postural, Bone, and Joint Disorders in Parkinson's Disease

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