What is the rate of spinal surgery following epidural steroid injections (ESIs)?

Updated: Aug 06, 2018
  • Author: Boqing Chen, MD, PhD; Chief Editor: Stephen Kishner, MD, MHA  more...
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Answer

Answer

The Spine Patient Outcomes Research Trial (SPORT) is a prospective, multicenter study of operative versus nonoperative treatment of lumbar intervertebral disk herniation. The results demonstrated a significant difference in the preference for surgery between groups (19% in the ESI group compared with 56% in the non-ESI group, P< .001). No difference was noted in primary or secondary outcome measures at 4 years between the groups. A higher percentage of patients changed from surgical to nonsurgical treatment in the ESI group (41% vs 12% in non-ESI, P< .001). [16]


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