TITLE:
What is the Impact of Lumbosciatic Infiltration on the Evolution of Herniated Disc and Dorsolumbar Asthrosis?
AUTHORS:
Kader Ndiaye, Adamou Abbassi, Mbang Dono Djerabe, Sory Traore, Adjougoulta Bonte, Madjouma A. B. Doumbia, Félicien G. Toudjingar, Yannick Canton Kessely
KEYWORDS:
Lumbosciatica, Infiltration, Evolution
JOURNAL NAME:
World Journal of Neuroscience,
Vol.11 No.2,
May
31,
2021
ABSTRACT: Lumbosciatica is a frequent reason for consultation in general medicine
and emergency medicine with an estimated incidence between 2% and 14%. There
are several therapeutic modalities, including infiltrations, which are very
controversial. Based on this observation, we conducted a prospective study in
which 19 patients had undergone epidural and peri-radicular infiltration; the
epidural was the most represented infiltration in 68.4% of the patients, the
peri-radicular was in 21.1% of them and the combination of both was in 10.5% of
the cases, with only 30.6% of the infiltrations carried out under radioscopy.
The molecules used were Triamcinolone Acetonide-based Kenacort and
Methylprednisolone Acetate-based Depo-Medrol. The evolution of
post-infiltration pain decreased significantly in 94.7% of cases, with a
statistically significant difference (p = 0.04). No complications were observed
in our patients and none of them had resorted to surgery during the follow-up
period except for a single case of recurrence of pain relieved by periodic
spaced infiltrations. Despite the small size of our sample, we can conclude
that infiltration techniques still have a place in the management of
Lumbosciatica alongside the surgery.