The effect of epidural steroids on postoperative pain and hospital stay in patients having a single- level lumbar discectomy | [Journal of Gandhara Medical and Dental Sciences • 2023]

Author(s):

1. Naseer Hassan: Head of Neurosurgery Department, Nowshera Medical College/Qazi Hussain Ahmad Medical Complex,Nowshera, Pakistan

2. Raza Hassan: Department of Orthopedic, North West General Hospital and Research Center,Peshawar , Pakistan

3. Muhammad Usman: Department of Neurosurgery, Fazaia Medical College, PAF Hospital,Islamabad, Pakistan

4. Farooq Azam: Department of Neurosurgery, Lady Reading Hospital,Peshawar, Pakistan

5. Hanif Ur Rehman: Department of Neurosurgery, Prime Teaching Hospital/Peshawar Medical College, Pakistan

6. Alamzeb Jadoon: Department of Physiology, Nowshera Medical College,Nowshera, Pakistan

7. Momina Saleem: Department of Orthodontics, Khyber College of Dentistry,Peshawar, Pakistan

Abstract:

OBJECTIVES To determine the e?ect of Epidural steroids on postoperative pain and hospital stay in patients having a single-level lumbar discectomy. METHODOLOGY A quasi-experimental study was conducted at the Neurosurgery department, Qazi Hussain Ahmad Medical Complex, Nowshera. Sixty patients with a mean age of 40.3±9.21 years were enrolled. The enrolled patients were divided into two groups: Group A patients were given intraoperative epidural methylprednisolone 80 mg, while Group B patients were given only normal saline. Pre- and post-operative pain was assessed after 6 hours, 12 hours and at the discharge time from the hospital. The duration of hospital stay was also noted. RESULTS Out of 60 patients, 55.0% were male, and 45.0% were female, with an overall mean age of 40.3±9.21 years. The VAS score in Group A was 0.82±0.26 compared to 2.30±0.71 in group B (P <0.000). And at ?rst follow -up, the V AS score was 0.13±0.05 and 1.25±0.33 in groups A and B, respectively. The length of hospital stay was 1.39±0.44 and 1.98±2.50 in groups A and B, respectively. CONCLUSION Intra-operative epidural steroid is bene?cial in reducing post -operative pain and hospital stay.

Page(s): 77-80

DOI: 10.37762/jgmds.10-3.452

Published: Journal: Journal of Gandhara Medical and Dental Sciences, Volume: 10, Issue: 3, Year: 2023

Keywords:

Postoperative pain , Epidural Steroids , Lumbar Discectomy

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