The Role of CT-Scan Guided Transforaminal Epidural Steroid Injection in Lumbar Radiculopathy

Abstract

his study was conducted on 30 patients with lumbosacral radiculopathy. All patients were subjected to transforaminal epidural steroid injection and were followed up for 3 months. They were assessed clinically and functionally pre-injection and twice post-injection (1 and half month and 3-month post-injection). Patients were subjected to full medical history taking, full physical and neurological examination with emphasis on special tests e.g. (Straight leg raising test, Contralateral straight raising test, Femoral nerve stretch test, Sacroiliac joints test). Regarding demographic and clinical data, the study included 15 men and 15 women. Their ages ranged from 22 to 65 years with a mean of 41 ± 13.23 years. Disease duration ranged from 0.43 to 60 months with a mean of 6.07 (1 - 18) months. Our results revealed: 1. A highly statistical significant difference regarding central LBP, SIJ pain, tingling & numbness; SLR; and CSLR between pre-injection visit and 1st visit post-injection (p<0.01) , a statistically significant difference regarding FNS test (p<0.05) and there was no statistically significant difference regarding SIJ (p>0.05).