Artikel
Relevance of single shot peridural anesthesia (SSPDA) in patients with spinal stenosis
Suche in Medline nach
Autoren
-
D.P. König
- Klinik und Poliklinik für Orthopädie der Universität zu Köln, Köln
-
N. Knupper
- Köln
-
H. Fürstenberg
- Köln
-
B. Desai
- Köln
-
P. Eysel
- Köln
| Veröffentlicht: | 13. Juni 2005 |
|---|
Gliederung
Text
Aim of the study
In a previous study we could demonstrate the efficacy of the SSPDA in patients with back pain. We wanted to evaluate the outcome of patients with lumbar stenosis after SSPDA
Methods
In loss of resistance technique we inject Sufentanil, Ropivacain and Triamcinolon into the epidural space. Before and after the injection we record the pain level (Visual Analoge Scale) and changes of the ODI (Oswestry-Low-Back-Pain-Disability-Questionnaire/ODI).
Results
With the SSPDA we find a satisfaction rate of 82% in the short term period and 83% satisfaction in the long term follow up. The pain sore decreases from an average 7,7 to 2,7 within 24 h. In the long term follow-up examination the quality of life improves considerably with an reduction of the dissabilty recorded with the ODI from 61,5% to 28,6%.
In patients with spinal stenosis the ODI reduction is 27%. In comparison to this group in patients with radicular pain we found an reduction of 37%. 22 consecutive patients with spinal stenosis underwent MRI Scanning to determine the width of the spinal canal. We found a correlation with the degree of spinal stenosis and the outcome after the SSPDA.
Conclusion
The SSPDA is a helpful tool in treating patients with back pain. The long term results show an improvement in the ODI. Patients with spinal stenosis have less improvement correlating with the degree of spinal stenosis.
