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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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| epidural steroid injection | Active Comparator | 40 mg triamcinolone acetate 1 cc |
|
| placebo injection | Placebo Comparator | no injection agent |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 40 mg Triamcinolone acetate 1 cc | Drug | 40 mg Triamcinolone acetate 1 cc |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Post-operative morphine consumption | Post operative 24 hour of morphine consumption in mg |
| Measure | Description | Time Frame |
|---|---|---|
| Visual analog score (back and leg) 0-10 | 1 day, 2, 6 ,12, 24 weeks | |
| Oswestry disability index (ODI | 2, 6 ,12, 24 weeks | |
| MacNab scores |
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Inclusion Criteria:
Exclusion Criteria:
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| ID | Term |
|---|---|
| D007405 | Intervertebral Disc Displacement |
| ID | Term |
|---|---|
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D006547 | Hernia |
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| Placebos |
| Drug |
no injected agent |
|
| 2, 6 ,12, 24 weeks |
| D020763 |
| Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |