Şişli Etfal Hastanesi Tıp Bülteni, vol.54, no.3, pp.327-332, 2020 (ESCI)
Objectives: Transforaminal epidural steroid injection reduces the low back-leg pain and enables daily activities of the patients.In this study, we aim to evaluate the treatment of transforaminal epidural steroid injection for lumbar spinal stenosis, which wasmainly performed for lumbar disc herniation and share our diagnostic experience for lumbar spinal stenosis which is treated surgically.Methods: In our study, 37 patients were included who were treated by transforaminal epidural steroid injection for Grade B lumbarspinal stenosis in our clinic between June-2014 and June-2018. We evaluated the patients at the second weeks, third/sixth monthsand one year after the treatment by Oswestry-Disability-Index and Visual-Analogue-Scale and followed up for surgical treatmentafter one year.Results: The mean low back and leg pain Visual Analogue Scale was 5.1±0.3 before the transforaminal epidural steroid injectionprocedure, and it was 2.7±0.1 after two weeks. It was 2.8±0.2, 3.1±0.1 at three and six months after procedure, respectively. Theimprovement of low back-leg pain mean Visual-Analogue-Scale is statistically significant at two weeks, three and six months aftertransforaminal epidural steroid injection procedure, respectively. The mean Oswestry-Disability-Index was 29.6±0.4 before thetransforaminal epidural steroid injection procedure, and it was 14.1±0.3 after two weeks. It was 15.3±0.5, 24.4±0.2 at three andsix months after procedure, respectively. The improvement of Oswestry-Disability-Index is statistically significant at two weeks,three-six months.Conclusion: The transforaminal epidural steroid injection is safe procedure for non-surgical treatment of lumbar spinal stenosisand this procedure may be preferred support to the indication of the surgical treatment of level of lumbar spinal stenosis.