Perioperative Outcome of Corticosteroids in Transforaminal Endoscopic Lumbar Discectomy
Phase 4
Completed
- Conditions
- Lumbar Disc Herniation
- Interventions
- Drug: Placebos
- Registration Number
- NCT03273036
- Lead Sponsor
- Ramathibodi Hospital
- Brief Summary
The endoscopic discectomy has rapidly developed and increased need by patients. This procedure is widely performed by interventional pain physicians as well as by spine surgeons because it requires no general anesthesia or admission to a hospital. Many studies were reported that corticosteroid injection can inhibit persistent postoperative pain in lumbar discectomy. However, data of perioperative epidural steroids after an endoscopic discectomy is lacking.
- Detailed Description
To examine whether corticosteroid administered epidural space in patients undergoing endoscopic lumbar discectomy reduces postoperative morphine consumption, back and leg pain relief, improves functional disability comparing to placebo
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 30
Inclusion Criteria
- Lumbar disc herniation patient age 20-45 year-old who have symptom duration was at least 6 weeks and conservative treatment failed
Exclusion Criteria
- Refuse to participate and inform consent, Previous spinal surgery, History of allergic to steroid
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description epidural steroid injection 40 mg Triamcinolone acetate 1 cc 40 mg triamcinolone acetate 1 cc placebo injection Placebos no injection agent
- Primary Outcome Measures
Name Time Method Post-operative morphine consumption Post operative 24 hour of morphine consumption in mg
- Secondary Outcome Measures
Name Time Method Visual analog score (back and leg) 0-10 1 day, 2, 6 ,12, 24 weeks Oswestry disability index (ODI 2, 6 ,12, 24 weeks MacNab scores 2, 6 ,12, 24 weeks