@article{ART002667795},
author={Jong Seok Baik and Yeong Tae Kim and DAE JIN NAM and KIM TAE KYUN},
title={Predictive Factors for the Short-Term Efficacy of Epidural Injections in Lumbar Disc Herniation Treatment},
journal={Journal of Korean Society of Spine Surgery},
issn={2093-4378},
year={2020},
volume={27},
number={4},
pages={138-146}
TY - JOUR
AU - Jong Seok Baik
AU - Yeong Tae Kim
AU - DAE JIN NAM
AU - KIM TAE KYUN
TI - Predictive Factors for the Short-Term Efficacy of Epidural Injections in Lumbar Disc Herniation Treatment
JO - Journal of Korean Society of Spine Surgery
PY - 2020
VL - 27
IS - 4
PB - Korean Society Of Spine Surgery
SP - 138
EP - 146
SN - 2093-4378
AB - Study Design: Retrospective study.
Objectives: The purpose of this study was to analyze several factors affecting the efficacy of epidural steroid injections as a nonoperative treatment modality in lumbar disc herniation patients.
Summary of Literature Review: Despite several studies, the normal course of intervertebral disc herniation is not fully understood, and the optimal timing of surgery is unclear.
Methods: From January 2017 to April 2019, among outpatients in our hospital, 64 patients diagnosed with 3-4 or 4-5 single-level lumbar disc herniation and followed up for at least 6 weeks were included. Epidural steroid injection was performed in all patients during their 1-week admission. Symptoms improved in 36 patients (group 1) and persisted or recurred in 28 patients (group 2), who were finally treated surgically. Demographic factors, magnetic resonance imaging findings, and clinical assessments were analyzed.
Results: The only demographic factor with a significant difference between groups was symptom duration. In magnetic resonance imaging, significant differences were found in disc sequestration and the degree of the herniated disc. At 6 weeks after the injection, significant differences were found between the 2 groups in visual analog scale scores and the Korean version of the Oswestry Disability Index.
Conclusions: Several factors must be considered when treating patients with lumbar disc herniation. Of note, longer symptom duration was found to be associated with a lower effectiveness of conservative treatment. The effects of treatment could also be influenced by the disc form and the degree of disc herniation.
KW - Epidural steroid injection;Intervertebral disc herniation;Sciatica
DO -
UR -
ER -
Jong Seok Baik, Yeong Tae Kim, DAE JIN NAM and KIM TAE KYUN. (2020). Predictive Factors for the Short-Term Efficacy of Epidural Injections in Lumbar Disc Herniation Treatment. Journal of Korean Society of Spine Surgery, 27(4), 138-146.
Jong Seok Baik, Yeong Tae Kim, DAE JIN NAM and KIM TAE KYUN. 2020, "Predictive Factors for the Short-Term Efficacy of Epidural Injections in Lumbar Disc Herniation Treatment", Journal of Korean Society of Spine Surgery, vol.27, no.4 pp.138-146.
Jong Seok Baik, Yeong Tae Kim, DAE JIN NAM, KIM TAE KYUN "Predictive Factors for the Short-Term Efficacy of Epidural Injections in Lumbar Disc Herniation Treatment" Journal of Korean Society of Spine Surgery 27.4 pp.138-146 (2020) : 138.
Jong Seok Baik, Yeong Tae Kim, DAE JIN NAM, KIM TAE KYUN. Predictive Factors for the Short-Term Efficacy of Epidural Injections in Lumbar Disc Herniation Treatment. 2020; 27(4), 138-146.
Jong Seok Baik, Yeong Tae Kim, DAE JIN NAM and KIM TAE KYUN. "Predictive Factors for the Short-Term Efficacy of Epidural Injections in Lumbar Disc Herniation Treatment" Journal of Korean Society of Spine Surgery 27, no.4 (2020) : 138-146.
Jong Seok Baik; Yeong Tae Kim; DAE JIN NAM; KIM TAE KYUN. Predictive Factors for the Short-Term Efficacy of Epidural Injections in Lumbar Disc Herniation Treatment. Journal of Korean Society of Spine Surgery, 27(4), 138-146.
Jong Seok Baik; Yeong Tae Kim; DAE JIN NAM; KIM TAE KYUN. Predictive Factors for the Short-Term Efficacy of Epidural Injections in Lumbar Disc Herniation Treatment. Journal of Korean Society of Spine Surgery. 2020; 27(4) 138-146.
Jong Seok Baik, Yeong Tae Kim, DAE JIN NAM, KIM TAE KYUN. Predictive Factors for the Short-Term Efficacy of Epidural Injections in Lumbar Disc Herniation Treatment. 2020; 27(4), 138-146.
Jong Seok Baik, Yeong Tae Kim, DAE JIN NAM and KIM TAE KYUN. "Predictive Factors for the Short-Term Efficacy of Epidural Injections in Lumbar Disc Herniation Treatment" Journal of Korean Society of Spine Surgery 27, no.4 (2020) : 138-146.