One-year evaluation of epiduroscopy in chronic back pain with and without radiculopathy: a retrospective study
Abstract Background Back pain is a frequent complaint among the individuals in the society. It significantly affects the daily activities and the social and psychological life aspects leading to an economic health burden. Epiduroscopy is a relatively new minimally invasive technique that is used as...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SpringerOpen
2019-12-01
|
Series: | The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
Subjects: | |
Online Access: | https://doi.org/10.1186/s41983-019-0142-3 |
id |
doaj-3e5e6cf12f7f4e6c82cc5227cbeeeb18 |
---|---|
record_format |
Article |
spelling |
doaj-3e5e6cf12f7f4e6c82cc5227cbeeeb182021-01-03T12:10:46ZengSpringerOpenThe Egyptian Journal of Neurology, Psychiatry and Neurosurgery1687-83292019-12-015611510.1186/s41983-019-0142-3One-year evaluation of epiduroscopy in chronic back pain with and without radiculopathy: a retrospective studyMert Akbas0Huseyin Babun1Haitham Hamdy Salem2Tamer Hussien Emara3Shereen Elmosly4Emel Gunduz5Bilge Karsli6Fatih Asik7Department of Pain Medicine, Akdeniz UniversityDepartment of Anesthesiology, Akdeniz UniversityDepartment of Neurology, Ain Shams UniversityDepartment of Neurology, Ain Shams UniversityDepartment of Neurology, Fayoum UniversityDepartment of Anesthesiology, Akdeniz UniversityDepartment of Pain Medicine, Akdeniz UniversityDepartment of Anesthesiology, Akdeniz UniversityAbstract Background Back pain is a frequent complaint among the individuals in the society. It significantly affects the daily activities and the social and psychological life aspects leading to an economic health burden. Epiduroscopy is a relatively new minimally invasive technique that is used as a diagnostic and therapeutic tool in cases of chronic back pain. Aim of the study To evaluate the extent of long-term benefit of epiduroscopy in patients with refractory chronic back pain with/without radiculopathy. Materials and methods Retrospective data of 148 patients with failed back surgery syndrome (FBSS) and/or symptomatic lumbosacral disc prolapse who underwent epiduroscopy were collected. A 50% reduction in the visual analog scale (VAS) score was set as the primary outcome. Pre- and post-procedure analgesic use, quality of sleep, and changes in the activities of daily livings (ADLs) after 1-year follow-up were reviewed. Incidence and types of complications were recorded. Results The mean age of the studied sample was 56.6 years with a higher percentage of females (61.5%). Patients having radicular pain represented 45.1%. Disc prolapse was prevalent (61.5%) compared to patients with FBSS (38.5%). A reduction of 50% or more in VAS score was reached in 52.7% (p < 0.01). This reduction was more evident in younger patients (p = 0.004). There was an improvement in ADLs (p < 0.01), quality of sleep (p < 0.05), and analgesic intake (p < 0.05). Conclusion Epiduroscopy is a relatively recent, safe, and minimally invasive tool that showed effectiveness in the difficult to treat patients with back pain with/without radiculopathy especially in FBSS.https://doi.org/10.1186/s41983-019-0142-3EpiduroscopyChronic back painRadiculopathyDisc prolapseFail back surgery syndrome |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mert Akbas Huseyin Babun Haitham Hamdy Salem Tamer Hussien Emara Shereen Elmosly Emel Gunduz Bilge Karsli Fatih Asik |
spellingShingle |
Mert Akbas Huseyin Babun Haitham Hamdy Salem Tamer Hussien Emara Shereen Elmosly Emel Gunduz Bilge Karsli Fatih Asik One-year evaluation of epiduroscopy in chronic back pain with and without radiculopathy: a retrospective study The Egyptian Journal of Neurology, Psychiatry and Neurosurgery Epiduroscopy Chronic back pain Radiculopathy Disc prolapse Fail back surgery syndrome |
author_facet |
Mert Akbas Huseyin Babun Haitham Hamdy Salem Tamer Hussien Emara Shereen Elmosly Emel Gunduz Bilge Karsli Fatih Asik |
author_sort |
Mert Akbas |
title |
One-year evaluation of epiduroscopy in chronic back pain with and without radiculopathy: a retrospective study |
title_short |
One-year evaluation of epiduroscopy in chronic back pain with and without radiculopathy: a retrospective study |
title_full |
One-year evaluation of epiduroscopy in chronic back pain with and without radiculopathy: a retrospective study |
title_fullStr |
One-year evaluation of epiduroscopy in chronic back pain with and without radiculopathy: a retrospective study |
title_full_unstemmed |
One-year evaluation of epiduroscopy in chronic back pain with and without radiculopathy: a retrospective study |
title_sort |
one-year evaluation of epiduroscopy in chronic back pain with and without radiculopathy: a retrospective study |
publisher |
SpringerOpen |
series |
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery |
issn |
1687-8329 |
publishDate |
2019-12-01 |
description |
Abstract Background Back pain is a frequent complaint among the individuals in the society. It significantly affects the daily activities and the social and psychological life aspects leading to an economic health burden. Epiduroscopy is a relatively new minimally invasive technique that is used as a diagnostic and therapeutic tool in cases of chronic back pain. Aim of the study To evaluate the extent of long-term benefit of epiduroscopy in patients with refractory chronic back pain with/without radiculopathy. Materials and methods Retrospective data of 148 patients with failed back surgery syndrome (FBSS) and/or symptomatic lumbosacral disc prolapse who underwent epiduroscopy were collected. A 50% reduction in the visual analog scale (VAS) score was set as the primary outcome. Pre- and post-procedure analgesic use, quality of sleep, and changes in the activities of daily livings (ADLs) after 1-year follow-up were reviewed. Incidence and types of complications were recorded. Results The mean age of the studied sample was 56.6 years with a higher percentage of females (61.5%). Patients having radicular pain represented 45.1%. Disc prolapse was prevalent (61.5%) compared to patients with FBSS (38.5%). A reduction of 50% or more in VAS score was reached in 52.7% (p < 0.01). This reduction was more evident in younger patients (p = 0.004). There was an improvement in ADLs (p < 0.01), quality of sleep (p < 0.05), and analgesic intake (p < 0.05). Conclusion Epiduroscopy is a relatively recent, safe, and minimally invasive tool that showed effectiveness in the difficult to treat patients with back pain with/without radiculopathy especially in FBSS. |
topic |
Epiduroscopy Chronic back pain Radiculopathy Disc prolapse Fail back surgery syndrome |
url |
https://doi.org/10.1186/s41983-019-0142-3 |
work_keys_str_mv |
AT mertakbas oneyearevaluationofepiduroscopyinchronicbackpainwithandwithoutradiculopathyaretrospectivestudy AT huseyinbabun oneyearevaluationofepiduroscopyinchronicbackpainwithandwithoutradiculopathyaretrospectivestudy AT haithamhamdysalem oneyearevaluationofepiduroscopyinchronicbackpainwithandwithoutradiculopathyaretrospectivestudy AT tamerhussienemara oneyearevaluationofepiduroscopyinchronicbackpainwithandwithoutradiculopathyaretrospectivestudy AT shereenelmosly oneyearevaluationofepiduroscopyinchronicbackpainwithandwithoutradiculopathyaretrospectivestudy AT emelgunduz oneyearevaluationofepiduroscopyinchronicbackpainwithandwithoutradiculopathyaretrospectivestudy AT bilgekarsli oneyearevaluationofepiduroscopyinchronicbackpainwithandwithoutradiculopathyaretrospectivestudy AT fatihasik oneyearevaluationofepiduroscopyinchronicbackpainwithandwithoutradiculopathyaretrospectivestudy |
_version_ |
1724350692616830976 |