Lumbar Epidural Anesthesia in the Treatment of Discal Lombosciatalgia: A Comparative Clinical Study between Methylprednisolone and Methylprednisolone with Levobupivacaine

Sousa, Fátima Aparecida Emm Faleiros; Colhado, Orlando Carlos Gomes

doi:10.1016/s0034-7094(11)70065-4

Cited by 3 publications

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References 21 publications

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“…In terms of efficacy, several studies have demonstrated unequivocally that epidural injections of steroids are effective for the intended purpose, although the benefits are only of short to medium duration. 6 , 11 , 12 , 21 …”

Section: Discussionmentioning

confidence: 99%

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Comparison of the efficacy of transforaminal and interlaminar radicular block techniques for treating lumbar disk hernia

Rezende

Júnior

Silva

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo compare the interlaminar and transforaminal block techniques with regard to the state of pain and presence or absence of complications.MethodThis was a randomized double-blind prospective study of descriptive and comparative nature, on 40 patients of both sexes who presented lumbar sciatic pain due to central-lateral or foraminal disk hernias. The patients had failed to respond to 20 physiotherapy sessions, but did not present instability, as diagnosed in dynamic radiographic examinations. The type of block to be used was determined by means of a draw: transforaminal (group 1; 20 patients) or interlaminar (group 2; 20 patients).ResultsForty patients were evaluated (17 males), with a mean age of 49 years. There was a significant improvement in the state of pain in all patients who underwent radicular block using both techniques, although the transforaminal technique presented better results than the interlaminar technique.ConclusionBoth techniques were effective for pain relief and presented low complication rates, but the transforaminal technique was more effective than the interlaminar technique.

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Section: Discussionmentioning

confidence: 99%

“…This makes it possible to reduce the inflammatory response, improve the state of pain, reduce the consumption of analgesics, maintain work activities and eliminate the need for surgery, among most individuals. 8 , 11 , 12 , 13…”

Section: Introductionmentioning

confidence: 99%

Comparison of the efficacy of transforaminal and interlaminar radicular block techniques for treating lumbar disk hernia

Rezende

Júnior

Silva

et al. 2015

Revista Brasileira de Ortopedia (English Edition)

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Comparação da eficácia das técnicas transforaminal e interlaminar de bloqueio radicular feito no tratamento de hérnia de disco lombar

Rezende

Júnior

Silva

et al. 2015

Revista Brasileira de Ortopedia

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Comparison of the Effectiveness of Radicular Blocking Techniques in the Treatment of Lumbar Disk Hernia

et al. 2015

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Objective : Compare the interlaminar blocking technique with the transforaminal blocking, with regard to pain and the presence or absence of complications. Methods : Prospective, descriptive and comparative, double-blind, randomized study, with 40 patients of both sex suffering from sciatic pain due to central-lateral or foraminal disc herniation, who did not respond to 20 physiotherapy sessions and had no instability diagnosed on examination of dynamic radiography. The type of blocking, transforaminal or interlaminar, to be performed was determined by draw. Results : We evaluated 40 patients, 17 males, mean age 49 years, average VAS pre-blocking of 8.85, average values in transforaminal technique in 24 hours, 7, 21, and 90 days of 0.71, 1.04, 2.33 and 3.84, respectively; the average VAS post-blocking for interlaminar technique was 0.89, 1.52, 3.63 and 4.88. The techniques differ only in the post-blocking period of 21 days and overall post-blocking, with significance of p=0.022 and p=0.027, respectively. Conclusion : Both techniques are effective in relieving pain and present low complication rate, and the transforaminal technique proved to be the most effective.

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Lumbar Epidural Anesthesia in the Treatment of Discal Lombosciatalgia: A Comparative Clinical Study between Methylprednisolone and Methylprednisolone with Levobupivacaine

Cited by 3 publications

References 21 publications

Comparison of the efficacy of transforaminal and interlaminar radicular block techniques for treating lumbar disk hernia

Comparison of the efficacy of transforaminal and interlaminar radicular block techniques for treating lumbar disk hernia

Comparação da eficácia das técnicas transforaminal e interlaminar de bloqueio radicular feito no tratamento de hérnia de disco lombar

Comparison of the Effectiveness of Radicular Blocking Techniques in the Treatment of Lumbar Disk Hernia

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