Izvorni znanstveni članak
https://doi.org/10.20471/acc.2023.62.s4.2
The Influence of Different Minimally Invasive Methods on the Outcome of Lumbar Radicular Pain Treatment
Dino Budrovac
; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Croatia; Josip Juraj Strossmayer University Osijek, School of Medicine, Department of Anesthesiology, Reanimatology and Intensive Care, Osijek, Croatia
Marko Pavošević
; Department of Gastroenterology and Hepatology, University Hospital Center Osijek, Croatia
Ivan Radoš
; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Croatia; Josip Juraj Strossmayer University Osijek, School of Medicine, Department of Anesthesiology, Reanimatology and Intensive Care, Osijek, Croatia
Dijana Hnatešen
; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Croatia; Josip Juraj Strossmayer University Osijek, School of Medicine, Department of Anesthesiology, Reanimatology and Intensive Care, Osijek, Croatia; Nursing Institute “Professor Radivoje Radić”, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Croatia
Ozana Katarina Tot
; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Croatia; Josip Juraj Strossmayer University Osijek, School of Medicine, Department of Anesthesiology, Reanimatology and Intensive Care, Osijek, Croatia
Ivana Haršanji-Drenjančević
; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Croatia; Josip Juraj Strossmayer University Osijek, School of Medicine, Department of Anesthesiology, Reanimatology and Intensive Care, Osijek, Croatia
Darija Venžera Azenić
; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Croatia
Marica Kristić
; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Croatia
Ivan Omrčen
; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Croatia; Josip Juraj Strossmayer University Osijek, School of Medicine, Department of Anesthesiology, Reanimatology and Intensive Care, Osijek, Croatia
Anja Petričević
; Department of Anaesthesiology, Reanimatology and Intensive Care, University Hospital Centre Osijek, Croatia
Sažetak
Lumbar radicular pain is a major public health, social and economic problem and is
often the cause of professional disability. The aim of this study was to compare pain intensity, disability
and neuropatic pain depending on the method of treatment (epidural steroid injection or percutaneous
laser disc decompression) in the treatment of lumbar radicular pain caused by intervertebral disc herniation
with or without discoradicular contact. Data were collected from 28 patients at 3 measurement
points (before the procedure and at examinations on the 15th and 30th day after the procedure) using
the Numeric Rating Scale (NRS), Oswestry Disabilitiy Indeks (ODI) and Pain Detect. The reduction of
the pain after the procedure was statistically significant only in the group of patients with discoradicular
contact in whom PLDD was performed (P=0.04). From the obtained results, it can be concluded that percutaneous
laser disc decompression (PLDD) led to a greater reduction in disability (P=0.009) in patients
with discorradicular contact, whereas lumbar transforaminal epidural steroid injection (ESI TF) led to
greater reduction in patients without discorradicular contact (P=0.02). The results indicate that there was
a significant (P=0.01) reduction in neuropathic pain in patients without discorradicular contact who were
treated with ESI TF and in patients with discoradicular contact who were treated with PLDD (P=0.04).
Ključne riječi
herniated disc; epidural injection; percutaneous diskectomy; laser, lower back pain; radiculopathy
Hrčak ID:
315766
URI
Datum izdavanja:
1.11.2023.
Posjeta: 76 *