Sayed Shah, Lal Rehman, Nazir Ahmed, Muhammad Anwar Chaudhry, Asif Shabir.
Frequency of Improved Functional Outcome in patients with Lumbar Disc Prolapse Treated with Caudal Epidural Steroid Injections.
Pak J Med Health Sci Jan ;8(3):622-4.

Aim: To evaluate the improved functional outcome in patients with lumbar disc prolapse treated with caudal epidural steroid injections. Methods: This cross sectional survey was conducted from 1-1-2007 to 3-1-2008 in the Department of Neurosurgery Hayatabad Medical Complex Peshawar. A total of 100 cases between 20-50 years, either sex having clinically significant back pain radiating to lower limb (sciatica), MRI proven disc, Straight leg raise (SLR) <60 degrees and Single level disc (L3-S1) were enrolled in the study while cases with cauda equina syndrome (loss of bowel and bladder control with neurological deficit), rapidly progressive neurological deficit (sensory loss, motor weakness in involved nerve root), presence of infection (lymphocytes >11,000mm3, ESR> 30 mmHr), Known case of bleeding disorder (PT>19, APTT>38) and Hypertensive patient and known case of Ischemic heart disease (ECG, BP Recording) were excluded from the study. Results: The patients aged 20-50 years with mean±SD 38.64+7.99 and males 78 (78%) and 22 (22%) females were included. According to Mcnab’s criteria at 2nd week of intervention 40% patients had poor outcome and 48% had fair and 12% had good outcome while no patient was recorded with excellent results. At 4th week of intervention, 14%, 32% had fair, 40% had good results. Conclusion: Improved functional outcome in patients with lumbar disc prolapse treated with caudal epidural steroid injections was found in the study.

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