Publication: Discogenic backpain; Outcome of intradiscal steroid injection
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Date
2020
Authors
Ali, Asrizuzairudin Muhammad
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Abstract
Introduction : Discogenic lower backpain and lumbar radicular pain is a common presentation with great disability and a negative impact of quality of life of the patient and subsequently toward working limitation. This minimally invasive intradiscal steroid injection provide an alternative to patient whom failed conservative treatment. We conducted a study to determine the outcome of intradiscal steroid injection in discogenic back pain patient based on the pain score(Visual Analog Score) and the disability score (Oswestry Disability Index).Finally we want to determine the correlation of discography grading (Adam grading with improvement /changes in pain and disability score Methodology :This was a retrospective cohort study involving 70 patients with chronic discogenic back pain evaluate from 1st December 2015 till 31st September 2018 .the clinical data evaluate using Visual Analog Score and Oswestry Disability Index(ODI).Statistical analysis was performed using SPSS VER. 24 to run paired t test to compare the VAS and ODI pre injection and at 6 months post injection .All p value less than 0.05 were considered as statistically significant. Result : Most patient (mean age of 56.4+9.2 years)significantly had reduction of pain score from pre injection VAS score of 66.3+16.1 to 32.2+17.4 6 months post injection. ODI show reduction of67.9+14.5% (severe disability) to 33.1 +13.6% ,6 months post injection were categorized as moderate disability. B ased on Spearman’s correlation analysis change of pain score VAS and change of disability score ODI weak and not significantly correlated with Adam’ classification. Conclusion: The intradiscal steroid injection is potential adjunt treatment in patient with chronic discogenic backpain who failed conservative management.Our study shows that result suggested that intradiscal steroid injection can improved the short term clinical outcome in patient with discogenic backpain
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Keywords
ODI (Oswestry Disability Index) , VAS (Visual Analog S)