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Asian J Pain > Volume 1(1); 2015 > Article
Asian Journal of Pain 2015;1(1):36-38.
DOI: https://doi.org/10.35353/ajp.1.1.36    Published online October 30, 2015.
Transforaminal Selective Epidural Block for Treating Dorsalgia due to Lumbar Compression Fracture
Farid Yudoyono1, Dong Ah Shin2
1Departement of Neurosurgery, Hasan Sadikin Hospital, Faculty of Medicine, University of Padjadjaran, Bandung, Jawa Barat, Indonesia
2Departement of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea
Correspondence:  Dong Ah Shin, Tel: 82-2-2228-2150, Fax: 82-2-393-9979, 
Email: shindongah@me.com
Abstract
Dorsalgia is the usual presentation of lumbar compression fracture. Bulging periosteum, unstable vertebrae, and narrowed neural foramen may cause dorsalgia and radicular pain. The transforaminal route to the lumbar epidural space for steroid injection has gained rapid and widespread acceptance for the treatment of pain. To report the effectiveness of transforaminal selective epidural block (TFSEB) using 2% lidocaine and 4 mg dexamethasone. A 52-years-old woman visited our clinic with severe back pain. X-ray showed compression fracture at the level of L1. TFSEB was performed using 5 mL of 2% lidocaine and 5 mL of 4mg dexamethasone, output measurement using visual analog scale (VAS) and Oswestry disability index (ODI) scores. The intensity of pain was significantly reduced with functional improvement by 50% until postoperative 6 months post-therapy. TFSEB may be a useful and safe treatment for relieving dorsalgia in a patient with lumbar compression fracture. A prospective series will be followed to evaluate its true efficacy on lumbar compression fracture.
Key Words: Compression fracture; Back pain; Lumbar vertebra.
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