Functional outcome in patients with sciatica after giving epidural steroid injection

Srujun, Vadranapu (2016) Functional outcome in patients with sciatica after giving epidural steroid injection. Masters thesis, Christian Medical College, Vellore.


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OBJECTIVES: 1. To study the Functional outcome in patients with Intervertebral disc prolapse and lumbar canal stenosis post epidural steroid injection (ESI) 2. To find out the Michigan state university grade most responsive to ESI. MATERIALS AND METHODS: A prospective cohort study on the functional outcome of patients with sciatica proven to have Intervertebral disc prolapse or lumbar canal stenosis. Outcome measures used in this study are Owestry disability index score and Numerical rating scale. All patients were taken an MRI scan, which was classified according to the Michigan state university classification. After initial check up, pre-anaesthetic check up, selected patients were given Epidural injection of Methyl Prednisolone and local anaesthetic Bupivacaine. Patients were scored at 24 hours, 1 month, 3 months and 6 months after the injection was given and the data was entered in epidata. RESULTS: A total of 91 patients were given ESI in the study period i.e., January 2015 to March 2015. 50 patients were included in the study as per the inclusion and exclusion criteria. Ages from 20-80 were included. Average pre-injection ODI scores were 57.22, at 24 hrs 46.35, 1 month 31.18, 3 months 28.04 and at 6 months 27.95 with a p value of <0.001. Mean NRS ratings pre injection were 4.64 and at 6 months was 1.73. The MSU grade most common among the study group was 2A and the type with worst prognosis was 2AB with 3 out of 5 patients getting operated in the study period.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Functional outcome ; patients ; sciatica ; epidural steroid injection.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 21 Sep 2017 03:27
Last Modified: 21 Sep 2017 03:27

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