CT guided Transforaminal Versus Oblique Interlaminar Epidural Steroid injection in Treatment of low back pain and radicular Lumbosacral pain
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Keywords
Transforaminal epidural steroid injections; Oblique interlaminar (OIL); low back pain; Radicular Lumbosacral pain
Abstract
Small doses of medication injected into the ventral epidural space using transforaminal epidural steroid injections (TF-ESIs) are highly effective. However, the needle comes dangerously close to the spinal nerve, increasing the risk of nerve injury. Therefore, a different technique known as the oblique interlaminar epidural (OIL) approach is adopted, Aim and objectives: The aim of the research was to compare lumbosacral pain and unilateral radiculopathy treatment outcomes after CT-guided transforaminal versus oblique interlaminar epidural steroid injection, Subjects and Methods: This prospective, randomized, controlled investigation involved 40 cases of both sexes, ages 30 to 60, with lower back and unilateral lumbosacral radicular pain at the L3 / L4 to L5 / S5 lower levels. They did not respond to a four-week course of analgesics and physical therapy. Individuals were assigned to one of two categories at random. 20 individuals received a transforaminal lumbar epidural (TF) and 20 individuals received OIL, Results: In terms of age, gender, height, weight, procedure level, patient satisfaction, and side effects, there was not a significant distinction among the groups. There was no significant variation among the pre-operation pain score and the pain scores after 2 hours, 2 weeks, and 6 weeks after the surgery, Conclusion: In the treatment of low back and unilateral lumbosacral radicular pain, ESIs administered using the OIL technique are as successful as TF-administered ESIs regarding pain reduction and functional improvement
References
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