The endoscopic discectomy has rapidly developed and increased need by patients. This procedure is widely performed by interventional pain physicians as well as by spine surgeons because it requires no general anesthesia or admission to a hospital. Many studies were reported that corticosteroid injection can inhibit persistent postoperative pain in lumbar discectomy. However, data of perioperative epidural steroids after an endoscopic discectomy is lacking.
To examine whether corticosteroid administered epidural space in patients undergoing endoscopic lumbar discectomy reduces postoperative morphine consumption, back and leg pain relief, improves functional disability comparing to placebo
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
30
40 mg Triamcinolone acetate 1 cc
no injected agent
Post-operative morphine consumption
Time frame: Post operative 24 hour of morphine consumption in mg
Visual analog score (back and leg) 0-10
Time frame: 1 day, 2, 6 ,12, 24 weeks
Oswestry disability index (ODI
Time frame: 2, 6 ,12, 24 weeks
MacNab scores
Time frame: 2, 6 ,12, 24 weeks
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