In discal sciatica, after failure of medical treatment, the investigators propose frequently a spinal infiltration of corticoids the most closer of disco-radicular conflict. Recently, some cases of paraplegia during lumbar foraminal infiltrations have induce a reduction of indications of this type of infiltration. An alternative would be to propose a lateral epidural infiltration on contact with conflict.The objective of this study is to compare, in 112 patients with a less than 6 months discal sciatica, the efficacy on pain of a non target posterior epidural space infiltration of corticoids done at L3-L4 stage on scan control versus an epidural infiltration of the same corticoid done in lateral on contact of disco radicular conflict on scan control.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
112
For patients included in control arm, a non target posterior epidural space infiltration of corticoids will be done at L3-L4 stage on scan control
For patients included in experimental arm, an epidural infiltration of corticoids will be done in lateral on contact of disco radicular conflict on scan control.
CHU de Montpellier - Hôpital Lapeyronie
Montpellier, France
RECRUITINGCHU Carémeau
Nîmes, France
RECRUITINGPain evolution on analogic visual scale (EVA) ay Day 30
Time frame: at Day 30 after infiltration
Pain evolution on analogic visual scal (EVA) at Day 7
Time frame: at day 7 after infiltration
Pain evolution on analogic visual scal (EVA) at month 3
Time frame: at month 3 after infiltration
Pain evolution on analogic visual scal (EVA) at month 6
Time frame: at month 6 after infiltration
Pain evolution on analogic visual scal (EVA) at month 12
Time frame: at month 12 after infiltration
drug consumption at day 7
Time frame: at day 7 after infiltration
drug consumption at month 3
Time frame: at month 3 after infiltration
drug consumption at month 6
Time frame: at month 6 after infiltration
drug consumption at month 12
Time frame: at month 12 after infiltration
functional handicap at Day 7
functional handicap is assessed by auto-questionnary
Time frame: at day 7 after infiltration
functional handicap at month 3
functional handicap is assessed by auto-questionnary
Time frame: at month 3 after infiltration
functional handicap at month 6
functional handicap is assessed by auto-questionnary
Time frame: at month 6 after infiltration
functional handicap at month 12
functional handicap is assessed by auto-questionnary
Time frame: at month 12 after infiltration
professional activity recovery at Day 7
professional activity recovery is assessed by patient's interrogation: if recovery, conditions of recovery, date of recovery. If not recovery, for why?
Time frame: at day 7 after infiltration
professional activity recovery at month 3
professional activity recovery is assessed by patient's interrogation: if recovery, conditions of recovery, date of recovery. If not recovery, for why?
Time frame: at month 3 after infiltration
professional activity recovery at month 6
professional activity recovery is assessed by patient's interrogation: if recovery, conditions of recovery, date of recovery. If not recovery, for why?
Time frame: at month 6 after infiltration
professional activity recovery at month 12
professional activity recovery is assessed by patient's interrogation: if recovery, conditions of recovery, date of recovery. If not recovery, for why?
Time frame: at month 12 after infiltration
new epidural infiltration or surgery of discal hernia at Day 7
Time frame: at day 7 after infiltration
new epidural infiltration or surgery of discal hernia at month 3
Time frame: at month 3 after infiltration
new epidural infiltration or surgery of discal hernia at month 6
Time frame: at month 6 after infiltration
new epidural infiltration or surgery of discal hernia at month 12
Time frame: at month 12 after infiltration
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