Lomber Diskopati Tanili Olgulara Uyguladiğimiz Epidural Kortikosteroid Enjeksiyonunun Klinik Sonuçlari

OZET: Lomber diskopati tanili olgulara uyguladigimiz epidural kortikosteroid enjeksiyonunun klinik sonuclari Amac: Lomber epidural steroid enjeksiyonlari (LESE) lomber disk hernisinde (LDH) kullanilan minimal invaziv tedavi yontemleridir. Bu calismada, konservatif tedavi yontemleri ya da cerrahi tedaviyle iyilesmeyen bel agrisi sikayeti olan hastalara uyguladigimiz LESE tedavisinin, semptomlar ve yasam kalitesine etkisini incelemeyi amacladik. Gerec ve Yontem: Calisma, klinigimize konservatif tedaviye direncli lomber diskopati tanisi olan 37 hastaya uygulanan LESE (transforaminal (TF), kaudal (K), interlaminar (IL)) kayitlarinin retrospektif olarak incelenmesi ile gerceklestirildi. Agri siddeti Vizuel Analog Skala (VAS) ile, sinir germe delilleri duz bacak kaldirma (DBK), dizabilite duzeyleri Oswestry Dizabilite Indeksi (ODI), yasam kalitesi ise SF-36 ile ilk 24. saat, 1.hafta, 1. ay ve 3. ayda degerlendirildi. Bulgular: VAS-radikuler agri duzeylerinde, ilk 24. saatte (p<0.01), 1. haftada (p<0.01), 1. ay (p<0.01) ve 3.ayda (p<0.05) istatistiksel olarak anlamli iyilesme mevcuttur. VAS-lomber agri duzeylerinde, ilk 24.saatte (p<0.01), 1. haftada (p<0.01), 1. ay (p<0.05) ve 3.ayda (p<0.05) istatistiksel olarak anlamli iyilesme mevcuttur. ODI duzeylerinde ve SF-36 ile degerlendirilen yasam kalitesinde ise tedavi once- sine gore ilk 24.saatte (p<0.01), 1. haftada (p<0.01), 1. ay (p<0.01) ve 3.ayda (p<0.05) istatistiksel olarak anlamli iyilesme mevcuttur. Sonuc: Minimal invaziv bir yontem olan LESE tedavisinin LDH tanisi olan hastalara uygulanmasiyla basarili sonuclara ulasabilecegimiz kanaatindeyiz. Anahtar kelimeler: Radikulopati, epidural steroid enjeksiyonu, bel agrisi ABSTRACT: Efficacy of lumbar epidural corticosteroid injections on clinical status of the patients with radiculopathy Objective: To investigate the effect of lumbar epidural steroid injection in patients with radiculopathy Materials-Methods: 37 patients with radiculopathy were recruited retrospectively in the study. Radicular, low back pain and paresthesia intensity were evaluated using visual analog scale (VAS); the evidence of nerve stretch was evaluated by straight leg rising (SRL), disability levels were evaluated using the Oswestry Disability Index (ODI) and the quality of life was evaluated by SF-36. Results: A significant improvement was observed in VAS-radicular and lomber pain levels at the 24 th hours post-injection (p<0.01), at the 1 st week (p<0.01), at 1 st month(p <0.01) and 3 rd month (p<0.05). Recovery rate of straight leg raising test was found to be 88% (p<0.05). A statistically significant imp- rovement was found in the ODI levels and the quality of life as assessed by the SF-36 at the1st week (p<0.01) and after 3 months of the treatment (p<0.05). Conclusion: During the first 3 months of treatment, lumbar epidural corticosteroid injections were effective in patients with radiculopathy