Infiltration foraminale L5-S1 radioguidée dans le traitement de la lombosciatique S1

Michel, Jean‐Luc; Bourbon, H; Reynier, C; Lhoste, A.; Soubrier, Stéphanie; Jj, Dubost; Ristori, Jean‐Michel

doi:10.1016/s0221-0363(04)97763-3

Cited by 8 publications

(6 citation statements)

References 12 publications

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“…Their survey included forty-one (41) of which 20 patients evaluated by prospective study as in our study and 21 patients by retrospective study. All suffered from S 1 lumbosciatica in relation to lumbar disco-radicular conflict proven by lumbar CT [7], as in our sample where 68.4 % of patients presented a lumbar herniated disc, see Figure 2. The mean age of our study population was similar to other studies: 51.8 years in a study population of 280 patients with a similar sex ratio 1.25 [1].…”

Section: Discussionsupporting

confidence: 61%

“…It is also recommended not to insist on it if there is no effectiveness after 2 infiltrations [1]. Other patients had received 2 radio-guided L5-S1 foraminal infiltrations 8 days apart [7]. In our study, the majority of our patients had received only one infiltration, i.e.…”

Section: Discussionmentioning

confidence: 80%

“…This age is lower than the average age found in a series of 116 patients for infiltrations, but with a slight female predominance in 54% of cases [6] compared with 68% of males in our study (see Table 2). Our sample size was similar to this prospective survey of 20 patients [7] versus 19 ones for our study. Their survey included forty-one (41) of which 20 patients evaluated by prospective study as in our study and 21 patients by retrospective study.…”

Section: Discussionmentioning

confidence: 85%

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What is the Impact of Lumbosciatic Infiltration on the Evolution of Herniated Disc and Dorsolumbar Asthrosis?

Ndiaye¹,

Abbassi²,

Djerabe³

et al. 2021

WJNS

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Lumbosciatica is a frequent reason for consultation in general medicine and emergency medicine with an estimated incidence between 2% and 14%. There are several therapeutic modalities, including infiltrations, which are very controversial. Based on this observation, we conducted a prospective study in which 19 patients had undergone epidural and peri-radicular infiltration; the epidural was the most represented infiltration in 68.4% of the patients, the peri-radicular was in 21.1% of them and the combination of both was in 10.5% of the cases, with only 30.6% of the infiltrations carried out under radioscopy. The molecules used were Triamcinolone Acetonide-based Kenacort and Methylprednisolone Acetate-based Depo-Medrol. The evolution of post-infiltration pain decreased significantly in 94.7% of cases, with a statistically significant difference (p = 0.04). No complications were observed in our patients and none of them had resorted to surgery during the follow-up period except for a single case of recurrence of pain relieved by periodic spaced infiltrations. Despite the small size of our sample, we can conclude that infiltration techniques still have a place in the management of Lumbosciatica alongside the surgery.

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Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 85%

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What is the Impact of Lumbosciatic Infiltration on the Evolution of Herniated Disc and Dorsolumbar Asthrosis?

Ndiaye¹,

Abbassi²,

Djerabe³

et al. 2021

WJNS

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“…The sixth study reported that 18 (45%) of 40 patients had greater than 75% relief of pain at 90 days, and an additional three patients (7.5%) had between 50% and 75% relief . The seventh study reported 20 patients treated prospectively and 21 treated retrospectively with two injections of 125 mg prednisolone . At 1 month after treatment, 60% ± 20 of the prospective patients and 67% of the retrospective patients had at least 50% relief of pain.…”

Section: Resultsmentioning

confidence: 99%

The Effectiveness of Lumbar Transforaminal Injection of Steroids: A Comprehensive Review with Systematic Analysis of the Published Data

MacVicar¹,

King²,

et al. 2013

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In a substantial proportion of patients with lumbar radicular pain caused by contained disc herniations, lumbar transforaminal injection of corticosteroids is effective in reducing pain, restoring function, reducing the need for other health care, and avoiding surgery. The evidence supporting this conclusion was revealed by comprehensive review of all published data and found to be much more compelling than it would have been if the literature review had been of the limited scope of a traditional "systematic review" of randomized, controlled trials only.

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“…In a clinically relevant context, studies of nonimage guided ESIs show no benefit over sham treatment with a collective number needed to treat of >90 [26][27][28][29][30][31]. In stark contrast, a large number of controlled studies of imageguided TFIS for patients with radiculopathy demonstrate robust positive outcomes [16,[32][33][34][35][36][37][38][39][40][41] with a number needed to treat of 3 [18].…”

Section: Technique/image Guidancementioning

confidence: 99%

Epidural Steroid Injections are Safe and Effective: Multisociety Letter in Support of the Safety and Effectiveness of Epidural Steroid Injections

et al. 2015

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The International Spine Intervention Society spearheaded a collaboration of more than a dozen other medical societies in submitting the letter below to the FDA on November 7, 2014. We are publishing the letter to ensure that the readership of Pain Medicine is aware of the multisociety support for the safety and effectiveness of these procedures. A special note of thanks to all of the societies who signed on in support of the message.

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Infiltration foraminale L5-S1 radioguidée dans le traitement de la lombosciatique S1

Cited by 8 publications

References 12 publications

What is the Impact of Lumbosciatic Infiltration on the Evolution of Herniated Disc and Dorsolumbar Asthrosis?

What is the Impact of Lumbosciatic Infiltration on the Evolution of Herniated Disc and Dorsolumbar Asthrosis?

The Effectiveness of Lumbar Transforaminal Injection of Steroids: A Comprehensive Review with Systematic Analysis of the Published Data

Epidural Steroid Injections are Safe and Effective: Multisociety Letter in Support of the Safety and Effectiveness of Epidural Steroid Injections

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