Transforaminal and Parasagittal Approach in Lumbar Epidural Steroid Injection

Not Applicable

Active, not recruiting

• Conditions: Lumbar Radiculopathy
• Interventions: Procedure: transforaminal group; Procedure: Lateral parasagittal group

• Registration Number: NCT05551676
• Lead Sponsor: Diskapi Teaching and Research Hospital

Brief Summary

Lumbar epidural injection is used in the treatment of lumbar radicular pain. There are three different application methods: lateral parasagittal, midline interlaminar and transforaminal epidural injection. Investigator aimed to compare lateral parasagittal and transforaminal epidural injection methods. The purpose of the study is to determine which method is more efficient.

Detailed Description

It was planned to recruit 60 participants in the study. Interlaminar epidural steroid injection will be applied to 30 patients with midline and 30 patients with lateral parasagittal approach. All patients will receive Oswestry disability index before and 2-4-12 weeks after the procedure. All patients will receive Somatization Amplification Scale (SSAS) before the treatment. The results of the patients will be compared. It will be investigated which method is more effective.

Study Timeline

• Study Start: 2022-06-22
• Study First Submitted: 2022-08-29
• Status Verified: 2022-09
• Study First Submitted QC: 2022-09-21
• Last Update Submitted: 2022-09-21
• Study First Posted: 2022-09-23
• Last Update Posted: 2022-09-23
• Primary Completion: 2023-06-22
• Study Completion: 2023-12-22

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Unilateral low back pain, radiculopathy

Exclusion Criteria

• malignancy
• past back surgery

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Transforaminal group	transforaminal group	Transforaminal steroid injection will be applied, 30 patients
Lateral parasagittal group	Lateral parasagittal group	Lateral parasagittal steroid injection will be applied, 30 patients

Primary Outcome Measures

Name	Time	Method
Oswestry disability index	baseline, week 4, week 12	Oswestry Low Back Pain Disability Questionnaire, the Oswestry Disability Index helps to measure a patient's lower back pain. It evaluates the extent to which the patient's level of function is restricted by the pain, concentrating on the effects rather than the nature of the pain.; 0% to 20%: minimal disability 41%-60%: severe disability 61%-80%: crippled

Trial Locations

Locations (1)

Diskapi Yildirim Beyazıt Teaching and Research Hospital; 🇹🇷 Ankara, Turkey