1. Epidurální aplikace kortikoidů Část 1 - Prof il pacientů před aplikací.
- Author
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Cabadaj, J., Hóborová, J., and Prokopová, M.
- Abstract
Aim: As an alternative to surgical treatment of discogenic radicular pain following the failure of conventional conservative treatments, minimally invasive procedures are available, including epidural steroid injections (ESIs). Patients and methods: The aim of the study was to find out and examine profiles of patients coming in for ESISs. Three hundred-forty patients were divided into the "D" – group of adult patients (aged 18–64 years) and the "S" – group of seniors (aged ≥ 65). Results: Apart from the different average age, the results discovered in both groups were as comparable as when being divided into the groups according to the degree of their disabilities. In both groups, women predominated in the 1.4 : 1 and 2 : 1 ratios, resp. The average pain score was 4.9 and 55, resp. Oswestry Disability Index (ODI) was 40.3 and 40%, resp. Transforaminal ESI to caudal ESI ratio was 3 : 1 in both groups. More then 80 % of the patiens were in moderate and severe disability groups and ESI indications seem adequate. In both groups, the pain score increased according to the increasing degree of disability of the patiens. Compared to the literature data, patients in the cited studies were mostly younger and reported higher pain scores. Conclusion: Pain assessment and the ODI questionnaire should be included in any entry examination of patiens with vertebrogenic pain as they will help in choosing an adequate treatment course. The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study. The Editorial Board declares that the manu-script met the ICMJE "uniform requirements" for biomedical papers. [ABSTRACT FROM AUTHOR]
- Published
- 2019