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[Intrathecal cortison injection in lumbar disc problems (author's transl)]
Archiv Fur Orthopadische Und Unfall-Chirurgie
|June 18, 1976
Summary
Intrathecal corticosteroid injections offer a useful conservative treatment for persistent sciatica and lumbar pain from disc issues. This method provides long-term relief for some patients, even after disc surgery.
Area of Science:
- Neurology
- Pain Management
- Spinal Surgery
Context:
- Persistent sciatica and lumbar pain are common debilitating conditions.
- Degenerative lumbar disc affections, including disc hernia and osteochondrosis, are frequent causes.
- Recurrent pain post-disc operation presents a significant challenge in conservative management.
Purpose:
- To evaluate the efficacy of intrathecal corticosteroid instillation for persistent and recurrent lumbar pain.
- To analyze indications, mechanism of action, technique, complications, and long-term results of this treatment.
- To determine if intrathecal corticosteroid administration is a viable conservative option for degenerative lumbar disc diseases.
Summary:
- Intrathecal corticosteroid instillation was administered to 188 patients with persistent or recurrent lumbar pain due to disc herniation, osteochondrosis, or post-operative conditions.
- Follow-up data from 88 patients indicated good, long-lasting results in a subset of individuals.
- The study discusses the rationale, procedure, and outcomes, supporting its use in conservative pain management.
Impact:
- Intrathecal corticosteroid administration represents a valuable addition to conservative treatment modalities for degenerative lumbar disc affections.
- This therapy can provide sustained relief for patients experiencing persistent lumbar or leg pain, including those with post-operative recurrence.
- The findings suggest potential for improved quality of life in patients with chronic spinal pain unresponsive to other conservative measures.