Outcome of single level disc prolapse treated with transforaminal steroid versus epidural steroid versus caudal steroids

Abstract

In current study, transforaminal steroid injection group has better symptomatic improvement for both short and long term as compared to interlaminar and caudal steroid injection group.

Comparison of transforaminal verse interlaminar epidural steroid injection in low back pain with lumbosacral radicular pain: a meta-analysis of the literature

“…Four of the nine studies [26,28,31,32] performed patient blinding, and all trials demonstrated assessor blinding, with the exception of one study [32]. Regarding other bias, two studies [21,28] had been unclear. Four observational studies were assessed using NOS ( Table 3).…”

“…The method of concealment of allocation was reported in four studies [24,26,28,31]. Four of the nine studies [26,28,31,32] performed patient blinding, and all trials demonstrated assessor blinding, with the exception of one study [32]. Regarding other bias, two studies [21,28] had been unclear.…”

“…All RCTs [21, 24, 26-28, 30-32, 39] had low risk of bias for random sequence generation, incomplete outcome data and selecting reporting. The method of concealment of allocation was reported in four studies [24,26,28,31]. Four of the nine studies [26,28,31,32] performed patient blinding, and all trials demonstrated assessor blinding, with the exception of one study [32].…”

“…The remaining study was further assessed for eligibility based on the full text articles. Although three studies included caudal epidural steroid injection as part of their research protocol [12,27,28], only data on TFESI or ILESI were included for analysis. Eventually, nine RCTs [21, 24, 26-28, 30-32, 39] and four observational studies [12,22,25,33] were identified for data collection and critical assessment.…”

“…The transforaminal approach is considered to transmit the medication more closely to the primary site of pathology, requiring less volume than the interlaminar route [20]. Moreover, multiple studies [12,[21][22][23][24][25][26][27][28] and systematic reviews [20,29] have shown that lumbar transforaminal epidural steroid injections (TFESI) to treat lumbosacral radicular pain provides superior short-term (≤1 year) pain relief and functional improvement compared with interlaminar epidural steroid injections (ILESI).…”