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Corticosteroid added to lidocaine of no benefit in epidural injections for lumbar spinal stenosis

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Ace Report Cover
November 2017

Corticosteroid added to lidocaine of no benefit in epidural injections for lumbar spinal stenosis

Vol: 6| Issue: 11| Number:15| ISSN#: 2564-2537
Study Type:Therapy
OE Level Evidence:2
Journal Level of Evidence:N/A

Long-Term Effects of Repeated Injections of Local Anesthetic With or Without Corticosteroid for Lumbar Spinal Stenosis: A Randomized Trial

Arch Phys Med Rehabil. 2017 Aug;98(8):1499-1507

Contributing Authors:
JG Jarvik BA Comstock JA Turner PJ Heagerty RA Deyo DJ Kennedy JL Friedly Z Bauer AL Avins SS Nedeljkovic DR Nerenz L Kessler V Akuthota T Annaswamy F Diehn XR Shi CJ Standaert M Smuck D Sibell AD Wasan P Suri SD Rundell AS Chen

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Synopsis

400 patients, 50 years of age or older, with lumbar spinal stenosis, were randomized to epidural injection of corticosteroid plus lidocaine, or lidocaine alone. Patients could request crossover to the other group after 6 weeks but remained blinded to initial and subsequent treatment. Patients were assessed for disability and leg pain over 12 months. Results demonstrated no significant differences ...

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