Do epidural steroids impact percutaneous endoscopic lumbar discectomy? 5 key notes

Written by Laura Dyrda | August 07, 2015 | Print  |

A new study published in Spine examines the impact of epidural steroids for patients undergoing percutaneous endoscopic lumbar discectomy for disc herniation

The researchers examined 100 patients who underwent percutaneous endoscopic lumbar discectomy. The patients were divided into two groups; one group of patients received an epidural steroid application after the procedure, while the other group received saline after the procedure.

 

The researchers found:

 

1. There was a significant decrease in the visual analogue scale scores and Oswestry Disability Index at all examinations.

 

2. The group that received the epidural steroids reported lower VAS scores in all examinations than the group that received saline, but the difference wasn't statistically significant.

 

3. The epidural steroid group showed a significant decrease in VAS leg score at one and four weeks after surgery when compared with the saline group. The epidural steroid group also showed a significant decrease in ODI when compared with the saline group one week after surgery.

 

4. The average hospital stay was significantly shorter in the epidural steroid group.

 

5. The average period before returning to work for the epidural steroid group was 4.45 weeks, compared to 6.48 weeks in the saline group.

 

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