Therapeutic effect and outcome predictors of sciatica treated using transforaminal epidural steroid injection

American Journal of Roentgenology

Volumn 187, Issue 6, 2006, Pages 1427-1431

  Lee, Joon Woo ^a   Kim, Sung Hyun ^a   Lee, In Sook ^a   Choi, Jung Ah ^a   Choi, Ja Young ^b   Hong, Sung Hwan ^b   Kang, Heung Sik ^a  

^a Seoul National University Bundang Hospital   (South Korea)

^b Seoul National University Hospital   (South Korea)

Author keywords

CNS; Interventional radiology; Musculoskeletal imaging; Sciatica; Spine

Indexed keywords

CONTRAST MEDIUM; IOHEXOL; STEROID;

ADULT; AGE; AGED; ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; DISEASE DURATION; DRUG EFFICACY; FEMALE; FLUOROSCOPY; HUMAN; IMAGE ANALYSIS; INTERVERTEBRAL DISK HERNIA; ISCHIALGIA; MAJOR CLINICAL STUDY; MALE; NERVE FIBER C; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; PROSTAGLANDIN SYNTHESIS; RISK FACTOR; SEX; STATISTICAL ANALYSIS; TREATMENT OUTCOME; VERTEBRAL CANAL STENOSIS; VISUAL ANALOG SCALE;

ADULT; AGED; AGED, 80 AND OVER; CONTRAST MEDIA; FEMALE; HUMANS; INJECTIONS, EPIDURAL; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; SCIATICA; STEROIDS; TREATMENT OUTCOME;

EID: 33751236217     PISSN: 0361803X     EISSN: None     Source Type: Journal    
DOI: 10.2214/AJR.05.1727     Document Type: Article

References (31)

1. Wickstrom G, Hanninen K, Lehtinen M, Riihimaki H. Previous back syndromes and present back symptoms in concrete reinforcement workers. Scand J Work Environ Health 1978; 4:20-29
2. Riihimaki H, Wickstrom G, Hanninen K, Luopajarvi T. Predictors of sciatic pain among concrete reinforcement workers and house painters: a five-year follow-up. Scand J Work Environ Health 1989; 15:415-423
3. Videman T, Nurminen T, Tola S, Kuorinka I, Vanharanta H, Troup JD. Low-back pain in nurses and some loading factors of work. Spine 1984; 9:400-404
4. Anderson GBJ. Epidemiology of spinal disorders. In: Fiymoyer JW, ed The adult spine: principles and practice. New York, NY: Raven, 1997:93-141
5. Vad VB, Bhat AL, Lutz GE, Cammisa F. Transforaminal epidural steroid injections in lumbosacral radiculopathy: a prospective randomized study. Spine 2002; 27:11-16
6. Pfirrmann CW, Oberholzer PA, Zanetti M, et al. Selective nerve root blocks for the treatment of sciatica: evaluation of injection site and effectiveness-a study with patients and cadavers. Radiology 2001; 221:704-711
7. Rydevik B, Garfin S. Spinal nerve root compression. In: Szabo RM, ed. Nerve root compression syndromes: diagnosis and treatment. New York, NY: Slack Medical, 1989:247-261
8. Olmarker K, Rydevik B. Pathophysiology of sciatica. Orthop Clin North Am 1991; 22:223-234
9. McCarron RF, Wimpee MW, Hudkins PG, Laros GS. The inflammatory effect of nucleus pulposus: a possible element in the pathogenesis of low-back pain. Spine 1987; 12:760-764
10. Wong DA, Errico T, Saal J, Sims W, Watters W. Clinical guideline on low back pain. Rosemont, IL: American Academy of Orthopedic Surgeons, 1996
11. Botwin KP, Gruber RD, Bouchlas CG, et al. Fluoroscopically guided lumbar transformational epidural steroid injections in degenerative lumbar stenosis: an outcome study. Am J Phys Med Rehabil 2002; 81:898-905
12. Tong HC, Williams JC, Haig AJ, Geisser ME, Chiodo A. Predicting outcomes of transforaminal epidural injections for sciatica. Spine J 2003; 3:430-434
13. Bogduk N, Aprill C, Derby R. Epidural steroid injections. In: White AH, ed. Spine care, vol. 1. St. Louis, MO: Mosby, 1995:322-343
14. Jamison RN, VadeBoncouer T, Ferrante FM. Low back pain patients unresponsive to an epidural steroid injection: identifying predictive factors. Clin J Pain 1991; 7:311-317
15. Lew HL, Coelho P, Chou LH. Preganglionic approach to transforaminal epidural steroid injections. Am J Phys Med Rehabil 2004; 83:378
16. Sontag MJ. A theoretical overview of the diagnosis and management of low back pain: acute vs chronic pain and the mind/body continuum. In: Cole AJ, Herring SA, eds. The low back pain handbook: a guide for the practicing clinician, 2nd ed. Philadelphia, PA: Hanley & Belfus, 1993:39-48
17. Robecchi A, Capra R. Hydrocortisone (compound F): first clinical experiments in the field of rheumatology [in undetermined language]. Minerva Med 1952; 98:1259-1263
18. Benzon H. Epidural steroid injections for low back pain and lumbosacral radiculopathy. Pain 1986; 24:277-295
19. Macnab I. Negative disc exploration: an analysis of the causes of nerve-root involvement in sixty-eight patients. J Bone Joint Surg Am 1971; 53:891-903
20. Saal JA, Saal JS. Nonoperative treatment of herniated lumbar intervertebral disc with radiculopathy; an outcome study. Spine 1989; 14:431-437
21. Takahashi H, Suguro T, Okazima Y, et al. Inflammatory cytokines in the hemiated disc of the lumbar spine. Spine 1996; 21:218-224
22. Kanemoto M, Hukuda S, Komiya Y, et al. Immunohistochemical study of matrix metalloproteinase-3 and tissue inhibitor of metalloproteinase-1 in human intervertebral discs. Spine 1996; 21:1-8
23. Kawakami M, Weinstein JN, Spratt KF, et al. Experimental lumbar radiculopathy: immunohistochemical and quantitative demonstrations of pain induced by lumbar nerve root irritation of the rat. Spine 1994; 19:1780-1794
24. Roberts S, Caterson B, Menage J, et al. Matrix metalloproteinases and aggrecanase: their role in disorders of the human intervertebral disc. Spine 2000; 25:3005-3013
25. Delamarter RB, Bohlman HH, Dodge LD, et al. Experimental lumbar spinal stenosis: analysis of the cortical evoked potentials, microvasculature, and histopathology. J Bone Joint Surg Am 1990; 72:110-120
26. Olmarker K, Holm S, Rosenqvist A. Experimental nerve root compression: a model of acute, graded compression of the porcine cauda equina and an analysis of neural and vascular anatomy. Spine 1991; 16:61-69
27. Schonstrom N, Bolender NF, Spengler DM, Hansson TH. Pressure changes within the cauda equina following constriction of the dural sac: an in vitro experimental study. Spine 1984; 9:604-607
28. Johnnsson A, Hao J, Sjolund B. Local corticosteroid application blocks transmission in normal nociceptive C-fibres. Acta Anesthesiol Scand 1990; 34:335-338
29. Kantrowitz F, Robinson DR, McGuire MB, et al. Corticosteroids inhibit prostaglandin production by rheumatoid synovia. Nature 1975; 258:737-739
30. Weiner BK, Fraser RD. Foraminal injection for lateral lumbar disc hemiation. J Bone Joint Surg Br 1997;79:804-807
31. Narozny M, Zanetti M, Boos N. Therapeutic efficacy of selective nerve root blocks in the treatment of lumbar radicular leg pain. Swiss Med Wkly 2001; 131:75-80