International Journal of Orthopaedics Sciences

Functional outcome of transforaminal steroid injection in patients suffering from prolapsed intervertebral disc

2024, Volume 10 Issue 1

Functional outcome of transforaminal steroid injection in patients suffering from prolapsed intervertebral disc

Author(s): Dr. Ronak Daglia, Dr. Abhinav Vatsa, Dr. Charchit Baurasi, Dr. Maheshkumar Prajapati, Dr. Mohammed Sohail Siddiqui and Dr. Ravi Patel
Abstract: 
Background: Low back ache is one of the most common complaints with which a patient goes to a hospital. Steroid injections are valuable treatment alternative when patients fail to respond to other conservative treatments within 4 to 6 weeks. This study was undertaken to evaluate the functional outcome in patients with prolapsed intervertebral discs (PIVD) after the patients were given transforaminal steroid injection in our institution.
Methodology: This prospective observational study included 66 patients with low back ache diagnosed PIVD on MRI conducted at Choithram Hospital, Indore who were given transforaminal steroid injection. After 48 hours, 1 month, 3 months and 6 months following the steroid injection visual analogue score (VAS) and Oswestry Disability Index (ODI) was evaluated at each follow-up.
Results: The mean age in our study patients was 39.79 ± 12.14 years. Male are higher 57.6% as compare to female who are little lower 42.4%. At presentation the mean VAS score for L3-L4 was 7.500 ± 0.548, for L4-L5 was 7.458 ± 0.743 and for L5-S1 was 7.500 ± 0.798. At 6 months the mean VAS score for L3-L4 was 2.167 ± 0.408, for L4-L5 was 2.068 ± 0.695 and for L5-S1 was 2.083 ± 0.900. The overall mean VAS at presentation was 7.470 ± 0.728, at 48 hours it was 3.985 ± 1.116, at 1 month it was 2.619 ± 0.941, at 3 months it was 2.177 ± 0.666 and at 6 months it was 2.081 ± 0.708. There is a decreasing trend in the VAS score from presentation till 6 months. At presentation the mean ODI score for L3-L4 was 65.000 ± 2.098, for L4-L5 was 61.500 ± 5.589 and for L5-S1 was 62.000 ± 3.908. At 6 months the mean ODI score for L3-L4 was 36.667 ± 4.320, for L4-L5 was 27.000 ± 6.198 and for L5-S1 was 29.667 ± 6.706. The overall mean ODI at presentation was 61.909 ± 5.149, at 48 hours it was 50.788 ± 7.613, at 1 month it was 35.111 ± 9.107, at 3 months it was 30.806 ± 6.770 and at 6 months it was 28.452 ± 6.721. There is a decreasing trend in the ODI score from presentation till 6 months.
Conclusion: We conclude that there is a significant functional improvement both statistically, clinically and functionally in patients with prolapsed intervertebral disc after giving transforaminal steroid injections.

Pages: 40-47  |  83 Views  41 Downloads
How to cite this article:
Dr. Ronak Daglia, Dr. Abhinav Vatsa, Dr. Charchit Baurasi, Dr. Maheshkumar Prajapati, Dr. Mohammed Sohail Siddiqui, Dr. Ravi Patel. Functional outcome of transforaminal steroid injection in patients suffering from prolapsed intervertebral disc. Int J Orthop Sci 2024;10(1):40-47. DOI: 10.22271/ortho.2024.v10.i1a.3494
International Journal of Orthopaedics Sciences

International Journal of Orthopaedics Sciences

 
International Journal of Orthopaedics Sciences
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