摘要
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 pe</span><span style="font-family:Verdana;"></span><span style="font-family:"">ri-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.
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 pe</span><span style="font-family:Verdana;"></span><span style="font-family:"">ri-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.
作者
Kader Ndiaye
Adamou Abbassi
Mbang Dono Djerabe
Sory Traore
Adjougoulta Bonte
Madjouma A. B. Doumbia
Félicien G. Toudjingar
Yannick Canton Kessely
Kader Ndiaye;Adamou Abbassi;Mbang Dono Djerabe;Sory Traore;Adjougoulta Bonte;Madjouma A. B. Doumbia;Félicien G. Toudjingar;Yannick Canton Kessely(Department of Anaesthesia and Intensive Care, University Hospital, La Renaissance, N’Djamena, Chad;Department of Anaesthesia and Intensive Care, University Hospital, La Référence Nationale, N’Djamena, Chad;Department of Anaesthesia and Intensive Care, University Hospital, La Mère et de l’enfant, N’Djamena, Chad;Neurosurgery Department, University Hospital, La Renaissance, N’Djamena, Chad)
