What are effects of epidural steroid injections (ESIs) on diskectomy outcomes?

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

Buttermann and colleagues conducted a study involving individuals with a lumbar disk herniation of greater than 25% of the cross-sectional area of the spinal canal; the patients were administered ESIs one level above the herniation. [17] The patients received up to 3 injections, with 42-56% of these individuals reporting the treatment to be effective. There was a cross-over of patients who first underwent ESIs and then diskectomy. For those who underwent an initial trial of ESIs, the delay in surgical decompression was not found to be detrimental to neurologic recovery at time of follow-up.


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