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Research ArticleArticles

The Incidence of Lumbar Discectomy after Epidural Steroid Injections or Selective Nerve Root Blocks

William F. Lavelle, Thomas Mroz and Isador Lieberman
International Journal of Spine Surgery January 2015, 9 12; DOI: https://doi.org/10.14444/2012
William F. Lavelle
1Department of Orthopedic Surgery, SUNY Upstate Medical University, East Syracuse, NY
MD
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Thomas Mroz
2Center for Spine Health, The Cleveland Clinic, Cleveland, OH
MD
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Isador Lieberman
3Scoliosis & Spine Tumor Center, Texas Back Institute, Texas Health Presbyterian Hospital, Plano, TX
MD
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  • Article
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Article Figures & Data

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  • Fig. 1
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    Fig. 1

    Percentage of Patients who received their ESI with respect to Time from Diagnosis- The percentage of patients who received their ESI is illustrated with respect to time. Most patients received their injection prior to sixty days after diagnosis.

  • Fig. 2
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    Fig. 2

    Percentage of Patients who received their SNRB with respect to Time from Diagnosis- The percentage of patients who received their SNRB is illustrated with respect to time. Most patients received their injection prior to sixty days after diagnosis.

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    Fig. 3

    Absolute Increase in Diagnosis of Disc Herniations and Associated Procedures- The absolute increase in disc herniations and procedures is shown. There was a much greater rise in number of SNRB injections.

Tables

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    Table 1

    Procedures for Patients with Disc Herniations

    200420052006Total
    Men
    Disc Herniations780187540582359235782
    Discectomies50685054578815910
    Epidural Steroid Injections65956075770720377
    Discectomies after ESI7956657062166
    Selective Nerve Root Blocks41364424649915059
    Discectomies after SNRB5525546851791
    Women
    Disc Herniations811087855987444247111
    Discectomies38053740434411889
    Epidural Steroid Injections68629033792421043
    Discectomies after ESI6425425191703
    Selective Nerve Root Blocks40864296650014882
    Discectomies after SNRB4504735211444
    Total
    Disc Herniations159126153964169803482893
    Discectomies887387941013227799
    Epidural Steroid Injections13457151081563141420
    Discectomies after ESI1437120712253869
    Selective Nerve Root Blocks822287201299929941
    Discectomies after SNRB1002102712063235
    • View popup
    Table 2

    Percent of Disc Herniations Receiving Injection Procedures

    DemographicsSNRBESI
    Year (p = 0.001) (p = 0.001)
    20045.7%8.5%
    20055.4%8.0%
    20067.3%9.2%
    Gender (p = 0.001) (p = 0.165)
    Male6.4%8.6%
    Female6.0%8.5%
    Age (p = 0.001) (p = 0.001)
    <304.7%7.1%
    30-406.0%8.3%
    40-506.3%8.7%
    50-606.6%8.9%
    >606.6%9.2%
    Region (p = 0.001) (p = 0.0001)
    Midwest6.4%10.6%
    Northeast4.4%5.6%
    South6.1%8.6%
    West8.0%7.9%
    • View popup
    Table 3

    Discectomy Rates

    SNRB Patients Receiving a DiscectomyESI Patients Receiving a DiscectomyAll Patients Receiving a Discectomy
    Year (p = 0.064) (p = 0.003) (p = 0.003)
    200410.7%10.7%5.9%
    200511.5%9.8%5.5%
    200610.4%7.8%5.8%
    Gender (p = 0.001) (p = 0.001) (p = 0.001)
    Male11.9%10.6%6.7%
    Female9.7%8.1%4.8%
    Age (p = 0.001) (p = 0.001) (p = 0.008)
    <3015.6%12.7%5.9%
    30-4014.1%12.3%7.0%
    40-5011.3%9.8%6.1%
    50-608.0%7.6%5.0%
    >607.5%5.1%4.4%
    Region (p = 0.155) (p = 0.426) (p = 0.02)
    Midwest11.0%9.4%6.3%
    Northeast9.0%8.6%3.5%
    South11.0%9.5%6.3%
    West10.8%9.3%5.5%
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International Journal of Spine Surgery
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1 Jan 2015
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The Incidence of Lumbar Discectomy after Epidural Steroid Injections or Selective Nerve Root Blocks
William F. Lavelle, Thomas Mroz, Isador Lieberman
International Journal of Spine Surgery Jan 2015, 9 12; DOI: 10.14444/2012

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The Incidence of Lumbar Discectomy after Epidural Steroid Injections or Selective Nerve Root Blocks
William F. Lavelle, Thomas Mroz, Isador Lieberman
International Journal of Spine Surgery Jan 2015, 9 12; DOI: 10.14444/2012
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Keywords

  • Central Epidural Steroid Injections (ESI)
  • lumbar discectomy
  • lumbar disc herniation
  • Selective Nerve Root Blocks (SNRB)

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