To study the outcome of selective Lumbosacral Nerve Root Block in Lumbosacral PIVD and Canal Stenosis in a Tertiary Care Neurosurgical Unit: A retrospective analysis.

Dr Mallika Sinha; Dr Sandeep Sorte; Nehal Shah

Volume : VIII, Issue : IX, September - 2018

To study the outcome of selective Lumbosacral Nerve Root Block in Lumbosacral PIVD and Canal Stenosis in a Tertiary Care Neurosurgical Unit: A retrospective analysis.

Dr Mallika Sinha, Dr Sandeep Sorte, Nehal Shah

Abstract :

Objective: To assess the outcome of selective nerve root block(SNRB) in conservatively treated patients of radicular lower limb pain.

Methods: Retrospective data of 27 sciatica patients treated with SNRB ( Jan 2017 –Jan 2018) was assessed for pain on visual analog scale (VAS) from 0–10 before block procedure, 30 minutes after block, 2 weeks, 1month, 3months and at 6 months of follow up.

Results: Mean age was 50.7(± 13.2). Mean duration of symptoms was 60.7days(2–180 days). There were 14(51.8%) cases of lumbosacral prolapsed interverteal disc (PIVD), 5(18.5%) lumbar canal stenosis, 2(7.4%) cases each of foraminal disc, recurrent PIVD and operated PIVD with facet hypertrophy. 2(7.4%) patients had normal MRI. Mean VAS before and after SNRB was 9.1(± 0.57) and 0.63(± 1.54) respectively with significant association(p=0.001) . None of the patients had radicular pain at 3 and 6 month follow–up visit.

Conclusion: SNRB is effective in conservative treatment of sciatica