Caudal Epidural Steroid Injection Ultrasound Guided in LDP
Refractory Lumbar Disc Prolapse
About this trial
This is an interventional health services research trial for Refractory Lumbar Disc Prolapse
Eligibility Criteria
Inclusion Criteria:
- Patients with LDP with unilateral radiculopathy diagnosed by routine clinical examination and MRI,
Exclusion Criteria:
- Vertebral fractures, direct trauma, spinal inflammatory disease, spinal infection, bleeding tendency, LBP with tumors, bilateral radiculopathy, cauda equina syndrome, spinal canal stenosis, post-laminectomy surgery, diabetic and hypertensive patients.
Sites / Locations
- Faculty of medicine Mansoura University
Arms of the Study
Arm 1
Arm 2
Other
Other
ultrasoun guided caudal epidural injection
fluoroscopy guided caudal epidural injection
A. Ultrasound-Guided CESI (Group 1) All the injection procedures were performed as an outpatient clinic setting. We used Acuson P300 (Siemens, Italy) with a linear transducer at 6 to 12 MHz as the US instrument, another curved transducer at 2-5 MHz was available for obese patients.
B. Fluoroscopy-Guided CESI (Group 2) All the injection procedures were performed in a specialized room with a FL device in the radiology department. We used a FL device GS 1004 with ALLURA XPER FD 20 system (Philips, Holland) with X-ray tube housing assembly, X-ray tube, beam limiting device and image receptor