Is Less Surgical Treatment Possible in the Treatment of Degenerative Spine Diseases? Four-Year Follow-up Results of Foraminal Epidural and Facet Joint Injection Treatments

Year 2023, Volume: 33 Issue: 5, 627 - 632, 25.10.2023

Derya Karaoğlu Gündoğdu , Yunus Kaçar

https://doi.org/10.54005/geneltip.1374425

Abstract

Aim
The study aims to examine the long-term outcomes of foraminal epidural injection and facet joint injection therapies in patients over the age of 60 who have been recommended for surgical intervention for degenerative spinal diseases but have declined surgical treatment due to comorbidities, anesthesia risks, and surgical risks.
Methods
Between 2018-2019, patients over the age of 60 diagnosed with Degenerative Spinal Disease who declined the recommended surgical treatment and underwent foraminal epidural and facet joint injection therapies were retrospectively evaluated. Patients were assessed using the visual pain scale and MacNab classifications during an average follow-up period of 57.14 (45-68) months. Inclusion criteria for the study included patients being continuously followed up and treated at the same center, regularly attending check-up examinations, and not having emergency surgical indications.
Results
The study included 35 patients with an average follow-up period of 57.14 months. Patients were treated with either facet joint or foraminal epidural injections in a single session based on their symptoms and complaints. The most striking result of our study is that the visual pain scale and MacNab classification outcomes after spinal injection therapy can be used as indicators for long-term results.
Conclusion
Sharing the outcomes of commonly practiced spinal injection therapies in the literature more frequently will provide guidance for the treatment planning of challenging conditions, especially like degenerative spinal disease.

Keywords

facet, foraminal, enjection, degenerative, spine

Dejeneratif Omurga Hastaliklarinin Tedavisinde Daha Az Müdahale Mümkün Mü? Foraminal Epidural ve Faset Eklem Enjeksiyon Terapilerimizin Dört Yillik Takip Sonuçları

Abstract

Amaç
Bu çalışma, dejeneratif omurga hastalığı nedeniyle cerrahi müdahale önerilen ancak ek hastalıklar, anestezi riskleri ve cerrahi riskler nedeniyle cerrahi tedaviyi reddeden 60 yaş üzeri hastalarda foraminal epidural enjeksiyon ve faset eklem enjeksiyon tedavilerinin uzun dönem sonuçlarını incelemeyi amaçlamaktadır.
Yöntemler
2018-2019 yılları arasında, Dejeneratif Omurga Hastalığı tanısı almış, önerilen cerrahi tedaviyi reddedip foraminal epidural ve faset eklem enjeksiyon tedavilerine başvuran 60 yaş üzeri hastalar retrospektif olarak değerlendirildi. Hastalar, ortalama 57.14 (45-68) aylık bir takip süresince görsel ağrı ölçeği ve MacNab sınıflamaları kullanılarak değerlendirildi. Çalışmaya dahil edilme kriterleri arasında hastaların sürekli olarak aynı merkezde takip edilmesi, düzenli olarak kontrole gelmesi ve acil cerrahi göstergelerinin bulunmaması yer aldı.
Sonuçlar
Çalışmaya, ortalama takip süresi 57, 14 ay olan 35 hasta dahil edildi. Hastalar, semptomlarına ve şikayetlerine bağlı olarak tek seansta ya faset eklem ya da foraminal epidural enjeksiyonları ile tedavi edildi. Çalışmamızın en çarpıcı sonucu, omurga enjeksiyon tedavisinden sonra görsel ağrı ölçeği ve MacNab sınıflama sonuçlarının uzun dönem sonuçları için göstergeler olarak kullanılabileceğidir.
Sonuç
Literatürde sıkça uygulanan omurga enjeksiyon tedavilerinin sonuçlarını daha sık paylaşmak, özellikle dejeneratif omurga hastalığı gibi zorlu durumların tedavi planlaması için rehberlik sağlayacaktır.

Keywords

faset, foraminal, enkeksiyon, dejeneratif, omurga

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