Erector Spinae Plane Block Versus Transforaminal Epidural Injection in Chronic Discogenic Low Back Pain
试验速览
- 阶段
- 不适用
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Visual analog pain score
研究概览
简要总结
Lumbar disc herniation is the main cause of low back pain and radicular leg pain. Steroids administered to the epidural area reduce the inflammatory response and pain by inhibiting the synthesis of proinflammatory agents. Epidural steroid injections are used in the treatment of lumbosacral radicular pain with various techniques including fluoroscopy-guided transforaminal and interlaminar injection.
Ultrasound-guided erector spina plan block (ESPB) was first described in 2016 and has been used for postoperative analgesia in many surgeries including thoracic and lumbar dermatomes. The distribution of local anesthesia in the ESPB from the paravertebral area to the transforaminal and epidural space has been shown in studies.
The aim of this study was to compare the efficacy of ultrasound-guided ESPB and fluoroscopic guided transforaminal epidural steroid injection in chronic discogenic low back pain.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •American Society of Anesthesiologist's physiologic state I-III patients
- •Patients with unilateral radicular pain and low back pain persisting despite medical treatment.
排除标准
- •Spinal cord disease or spinal mechanical instability,
- •Previous low back surgery,
- •More than two levels of lumbar disc hernia,
- •Allergic to local anesthetic drugs to be used,
- •Use of oral anticoagulants,
- •Uncontrolled diabetes mellitus type I and II
研究组 & 干预措施
Group ESP
Ultrasound-Guided erector spinae plane block with 30 ml of 0.25% bupivacaine and 8 mg dexamethasone
干预措施: Bupivacaine;Dexamethasone Solution for Injection (Drug)
Group ESP
Ultrasound-Guided erector spinae plane block with 30 ml of 0.25% bupivacaine and 8 mg dexamethasone
干预措施: Ultrasound (Device)
Group TF
Fluoroscopy-guided transforaminal injection with 4 ml of 0.25% bupivacaine and 8 mg dexamethasone
干预措施: Bupivacaine;Dexamethasone Solution for Injection (Drug)
Group TF
Fluoroscopy-guided transforaminal injection with 4 ml of 0.25% bupivacaine and 8 mg dexamethasone
干预措施: Fluoroscopy (Device)
结局指标
主要结局
Visual analog pain score
时间窗: Post injection sixth month
Pain will be evaluated with a Visual Analogue Scale (VAS) score of 0-10 (0= no pain and 10= worst imaginable pain)
次要结局
- Oswestry Disability Index(Post injection first, third and sixth month)
研究者
Ahmet Murat Yayik
Assistant Professor
Ataturk University