[The assessment of therapeutic effectiveness of paravertebral blockades in patients with painful radicular syndromes in discopathy and in lumbar spine spondylosis].
A group of 103 patients were examined for radicular painful syndromes in lumbar discopathy and lumbar spondylosis. Fifty-eight were treated by placing them in spine-decompressing position, traction and therapeutic exercises. The group of 45 patients had additionally paravertebral blockade (steroid + a local anaesthetic). In the blockade group the therapeutic effects were better, with rapid reduction of acute pain, with wellbeing improvement and better comfort, which facilitated further stages of the treatment. This made possible shortening of hospital stay by 20%, on average, as compared with the group without blockade. In patients with shorter lasting radicular pains (below 2 months) the results after paravertebral blockade were significantly better than in cases with longer duration of pains (2-6 months).
Styczyński
T
T
Kliniki Spondylo-Neurochirurgicznej, Instytutu Reumatologicznego w Warszawie.
Parnarauskiene
R
R
Zarski
S
S
Kaubrys
G
G
Klezys
V
V
Krzemińska-Dabrowska
I
I
Lesiak
A
A
Pasek
A
A
Piróg
A
A
Pyskło
B
B
Sadowski
A
A
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000779:Anesthetics, Local / Q000627:therapeutic use*; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000150:complications* / Q000628:therapy*; D017116:Low Back Pain / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D013128:Spinal Osteophytosis / Q000150:complications* / Q000628:therapy*; D013256:Steroids; D014143:Traction / Q000379:methods*; D016896:Treatment Outcome
D000779:Anesthetics, Local; D000893:Anti-Inflammatory Agents; D013256:Steroids
Ocena efektywności terapeutycznej blokad przykregosłupowych u chorych z zespołami bólowo-korzeniowymi w przebiegu dyskopatii i zmian zwyrodnieniowych ledźwiowego odcinka kregosłupa.