Short-Term Evaluation of the Steroid Epidural Injection Method for Patients with Degenerative Lumbar Stenosis


Pamudji Utomo1,2), R. Andhi Prijosedjati1,2), Haryo Wicaksono1,2)

 

1)Faculty of Medicine, Universitas Sebelas Maret

2)Prof. dr. R. Soeharso Orthopedic Hospital, Surakarta

 

ABSTRACT                                                                                                                                                  

Background: Spinal stenosis is a narrowing of the vertebral canal that com­presses spinal nerves and may cause leg pain and difficulty walking. The symptoms of dege­nerative lumbar stenosis commonly occur in elderly adults and can be treated conservatively with pain-relieving agents or aggressively with decom­pressive surgery. However, studies on the effectiveness of steroid epidural injection (EPI) on reducing pain in patients with degenerative lumbar stenosis in Indo­ne­sia are lacking. This study aimed to evaluate the short-term effect of the steroid epi­dural injection method on the reduction of pain and disability in patients with dege­nerative lumbar stenosis.

Subjects and Method: This was a cohort study conducted at Prof. Dr. R. Soeharso Orthopedi Hospital, Surakarta, Central Java, from March 2015 to January 2016. A total of 50 patients with degenerative lumbar stenosis was selected for this study. The dependent variables were pain and disability levels. The inde­pen­dent variable was EPI. Pain level was measured by visual analog scale (VAS). Disa­bility level was measured by Oswestri Disability Index (ODI). The outcome data  before and after the intervention (EPI) were compared by t-test.

Results: Score of VAS a month after EPI (mean= 36.20) was lower than before  EPI (mean= 63.20) and it was statistically significant (p= 0.027). Score of ODI a month after EPI (mean= 42.82) was lower than before  EPI (mean= 54.90) and it was statistically significant (p= 0.033). However, scores of both VAS and ODI began to rise three months after EPI.

Conclusion: Non-operative steroid epidural injection (EPI) is effective to reduce pain and disability among patients with degenerative lumbar stenosis in the short-term within three months after the intervention.

Keywords: steroid epidural injection, pain, disability, degenerative lumbar stenosis.

Correspondence: Pamudji Utomo. Faculty of Medicine, Universitas Sebelas Maret, Central Java. Email: pamudjiutomo@gmail.com. Mobile: 08122585888.

DOI: https://doi.org/10.26911/theicph.2018.05.15

 

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