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Efficacy of Conservative Therapy, Interlaminar Epidural Steroid Injections and Their Both Combination in Relieving Severe Chronic Pain for Lumbar Central Spinal Stenosis

Activity: Talk or presentation types › Oral presentation

Description

Lumbar central spinal stenosis (LCSS) is a debilitating disorder with degeneration of the spine that results in disability and persistent chronic pain. . The randomized controlled study compares efficacy of conservative therapy (CT), interlaminar epidural steroid injections (IESI) and their both combination (CT+IESI). Primary outcomes included pain (Numeric Pain Rating Score (NRS)), disability (Oswestry Disability Index (ODI)) and quality of life (European Quality of Life Questionnaire). Outcomes analyzed as short-term (≤ 3 months), intermediate-term (3 to 6 months), and long-term (6 months to 1 year). Patients included with NRS ≥ 7.. 229 patients with symptomatic LCSS randomly assigned to CT, IESI or CT+IESI group: 87 (age 63±9), 82 (age 57±9) and 60 patients (age 61±6), respectively. Mean improvement in physical function for CT, IESI and CT+IESI groups was 19.2 (95% confidence interval (CI) 13.6 to 24.8), 22.4 (95% CI 16.9 to 27.9) and 26.7 (95% CI 21.5 to 32.7), respectively. IESI was valuable for pain relief at short-term (MD 1.23, 95% CI 0.54-1.89; P=0.0002), CT+IESI - at long-term (MD 0.85, 95% CI 0.46-1.24; P
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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