EFFECTIVENESS AND LONG-TERM OUTCOMES OF CAUDAL EPIDURAL STEROID INJECTIONS USING THE LOSS OF RESISTANCE TECHNIQUE IN FAILED BACK SURGERY SYNDROME

Article Sidebar

Pdf
Published: Dec 9, 2020
DOI: https://doi.org/10.53555/jrtdd.v3i2.3840
Keywords:
Failed back surgery syndrome, Epidural steroid injection, Loss of Resistance technique, Patient satisfaction, Chronic pain

Main Article Content

Dr. Bahe Akshay Bapan

Abstract

Failed back surgery syndrome (FBSS) is a complicated disorder that is characterized by continued pain after spinal surgery, which has a great impact on the quality of life of patients. The study was a retrospective evaluation of the short- and long-term outcomes of caudal epidural steroid injections (CESI) using Loss of Resistance (LOR) technique in 75 FBSS cases who were receiving CESI at Ratchaburi Hospital January 2014 through December 2018. Visual Analog Scale (VAS), Oswestry Disability Index (ODI) and Patient Satisfaction Score (PSS) were used to measure the outcome at the baseline, and follow-up (3, 6, 12, 18 and 24 months). The outcomes showed that there was a great improvement in pain, disability, and patient satisfaction with benefits extending to two years. Another point presented by the study is that patient-reported outcomes should be taken into account when evaluating the efficacy of CESI. The findings indicate that CESI is an effective, safe, and practical option of treatment to maintain FBSS, especially to patients who have failed to respond to conservative therapies.


 

Article Details

How to Cite
Dr. Bahe Akshay Bapan. (2020). EFFECTIVENESS AND LONG-TERM OUTCOMES OF CAUDAL EPIDURAL STEROID INJECTIONS USING THE LOSS OF RESISTANCE TECHNIQUE IN FAILED BACK SURGERY SYNDROME. Journal for ReAttach Therapy and Developmental Diversities, 3(2), 156–160. https://doi.org/10.53555/jrtdd.v3i2.3840
Issue
Vol. 3 No. 2 (2020): July-December 2020
Section
Articles
Author Biography

Dr. Bahe Akshay Bapan

Associate Professor, Department of Anesthesia, Sri Lakshmi Narayana Institute of Medical Science, Pondicherry, India.

References

Slipman CW, Shin CH, Patel RK, Zacharia I, Chris WH, Jason SL, et al. Etiologies of failed back surgery syndrome. Pain Med. 2002;3(3):200-14.

Cohen SP, Bicket MC, Jamison D, Wilkinson I, Rathmell JP, Walega DR. Epidural steroids: a comprehensive, evidence-based review. Reg Anesth Pain Med. 2013;38(3):175-200.

Kat'uch V, Pataky F, Kat'uchová J, Gajdos M, Radonak J. Surgical Management of the failed back surgery syndrome (FBSS) using posterior lumbar interbody fusion (PLIF) with posterior transpedicular stabilisation. Rozhl Chir. 2010;89(7):450-8.

Fairbank JC, Couper J, Davies JB, O'Brien JP. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980;66(8):271-3.

Sanjaroensuttikul N. The Oswestry low back pain disability questionnaire (version 1.0) Thai version. J Med Assoc Thai. 2007;90(7):1417-22.

Cho JH, Lee JH, Song KS, Hong JY, Joo YS, Lee DH, et al. Treatment outcomes for patients with failed back surgery. Pain Physician. 2017;20(1):E29-43.

Chen CP, Lew HL, Tang SF. Ultrasound-guided caudal epidural injection technique. Am J Phys Med Rehabil. 2015;94(1):82-4.

Singh V, Manchikanti L. Role of Caudal Epidural Injections in the Management of Chronic Low Back Pain. Pain Physician. 2002;5(2):133-48.

Aditya G, Shivendra S, Navin KS, Abhijeet Y. Efficacy of Caudal Epidural Steroid Injections in Chronic Low Backache Patients. J Pharm Bioallied Sci. 2023;15(1):s669-72.

Park SJ, Kim JJ, Kim BS. Validation of Remote Collection of Patient-Reported Outcomes Using Patients' Smartphones. Clin Orthop Surg. 2021;13(1):117-22.

Pateder DB, Barney B, Wiesel SW. Caudal epidural steroid injections for chronic low back pain and sciatica: a comparative study. Pain Physician. 2007;10(2):243-8.

Chaudhary S, Sharma R, Kothari SY, Thukral BB. Effect of Caudal Epidural Steroid Injection in Chronic Low Back Pain due to Prolapse Intervertebral Disc. Indian J Pain Relief Med. 2015;26(2):49-52.

Boswell MV, Trescot AM, Datta S, Schultz DM, Hansen HC, Abdi S, et al. Interventional techniques: evidence-based practice guidelines in the management of chronic spinal pain. Pain Physician. 2007;10(1):7-111.

Deer TR, Mekhail N, Provenzano D, Tim JL, Sayed EW, Jonathan MH, et al. The MIST guidelines: an evidence-based, clinical practice guideline for interventional techniques in the management of chronic spinal pain. Pain Physician. 2019;22(1S):S1-92.

Bagheri H, Govsa F. Anatomy of the sacral hiatus and its clinical relevance in caudal epidural block. Surg Radiol Anat. 2017;39(9):943-51.

Dar FA, Jan N, Samoon S. Confirmation of Success Rate of Landmark Based Caudal Epidural Block Using Fluoroscopy. Int J Med Res Health Sci. 2022;11(8):205-10.

Stitz MY, Sommer HM. Accuracy of blind versus fluoroscopically guided caudal epidural injection. Spine. 1999;24(13):1371-6.

Price CM, Rogers PD, Prosser AS, Arden NK. Comparison of the caudal and lumbar approaches to the epidural space. Ann Rheum Dis. 2000;59(11):879-82.

Aggarwal A. Anatomic consideration of caudal epidural space: a cadaver study. Clin Anat. 2009;22(6):730-7.

Thomson S. Failed back surgery syndrome-a review of the literature. Eur Spine J. 2005;14(9):855-63.