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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6 Suppl
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pubmed:dateCreated |
1992-8-18
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pubmed:abstractText |
A prospective, randomized, double-blind study was performed to evaluate the clinical efficacy of intradiscal steroid injections. Criteria for entrance were one-level internal disc disruption or nonsequestered nuclear prolapse with or without sciatica and a positive pain response on awake discography. Exclusion criteria were multilevel disease, central or lateral stenosis, prior lumbar surgery, or medical disease requiring systemic steroids. A total of 25 patients were randomly assigned to Treatment Group A (methylprednisolone, Depo-Medrol 80 mg/ml, The Upjohn Co., Kalamazoo, Michigan) or Treatment Group B (bupivacaine, Marcaine .5% 1.5 ml, Sanofi Winthrop Pharmaceuticals, New York, New York). Fourteen patients received Depo-Medrol, with 21% showing subjective improvement and 79% no improvement; 0% were clinically worse. Eleven patients received intradiscal Marcaine, with 9% showing clinical improvement and 91% no improvement; 0% were clinically worse. To quantify clinical response, a pain diagram grid score, a visual analog scale, and the Oswestry Pain Questionnaire were used before injection and 10-14 days after injection. No statistically significant benefit was identified in the use of intradiscal steroids.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0362-2436
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
17
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
S172-5
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:1385902-Adult,
pubmed-meshheading:1385902-Anti-Inflammatory Agents,
pubmed-meshheading:1385902-Back Pain,
pubmed-meshheading:1385902-Bupivacaine,
pubmed-meshheading:1385902-Double-Blind Method,
pubmed-meshheading:1385902-Humans,
pubmed-meshheading:1385902-Intervertebral Disc Displacement,
pubmed-meshheading:1385902-Methylprednisolone,
pubmed-meshheading:1385902-Pain Measurement,
pubmed-meshheading:1385902-Prospective Studies
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pubmed:year |
1992
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pubmed:articleTitle |
Intradiscal steroids. A prospective double-blind clinical trial.
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pubmed:affiliation |
Alamo Bone & Joint Clinic, San Antonio, Texas.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
|