Efficacy of epidural steroid injections and evaluation of surgical and anesthetic approaches in far-lateral disc herniations

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dc.authorid0000-0002-9332-3321
dc.authorid0000-0002-3562-9517
dc.contributor.authorGurbuz, Hande
dc.contributor.authorSecer, Mehmet
dc.contributor.authorGokbel, Aykut
dc.date.accessioned2026-01-24T12:29:20Z
dc.date.available2026-01-24T12:29:20Z
dc.date.issued2023
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractAim: To observe the long-term effect of epidural steroid injections (ESI) and describe surgical outcomes in patients with far-lateral lumbar disc herniations. Materials & methods: The medical records of 30 patients who underwent surgery for far-lateral lumbar disc herniations were reviewed. Results: ESI outcomes: pain scores decreased significantly after ESI (p = 0.004). The surgery was delayed for 13.78 +/- 8.59 months in patients who received ESI. Surgical outcomes: the improvement in the leg pain was considerably more significant than the back pain (p < 0.001). While motor deficit improved substantially (p < 0.001), there was persistent sensory dysesthesia. Conclusion: ESI does not prevent but may delay the surgery up to 28 months. Although postoperative pain scores were significantly decreased, there was persistent back pain and sensory paresthesia. Plain language summaryFar-lateral lumbar disc herniation is a rare condition, and it constitutes a specific group of lumbar disc hernias regarding its anatomic location. It causes far more severe and intractable back and leg pain than the other widely known group of disc hernias. Sometimes, it can lead to sensation disorders and even functional impairment in the legs. Few can benefit from conservative treatments, including painkillers and physical therapy so surgical treatment becomes inevitable in many patients. Lumbar steroid injections to the epidural space may provide significant symptom relief and delay surgery in certain patients.
dc.identifier.doi10.2217/pmt-2022-0035
dc.identifier.issn1758-1869
dc.identifier.issn1758-1877
dc.identifier.pmid36718770
dc.identifier.scopus2-s2.0-85148002242
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.2217/pmt-2022-0035
dc.identifier.urihttps://hdl.handle.net/20.500.12868/5298
dc.identifier.wosWOS:000919637800001
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherFuture Medicine Ltd
dc.relation.ispartofPain Management
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20260121
dc.subjectdiscectomy
dc.subjectepidural injections
dc.subjectgeneral anesthesia
dc.subjectherniated disc
dc.subjectintervertebral disc
dc.subjectpain management
dc.subjectregional anesthesia
dc.titleEfficacy of epidural steroid injections and evaluation of surgical and anesthetic approaches in far-lateral disc herniations
dc.typeArticle

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