Schenk S, Reiter R
Arch Orthop Unfallchir. 1976 Jun 18;85(1):21-31. doi: 10.1007/BF00416330.
Intrathecal instillation of corticosteroid was used in treatment of 188 patients with persistent sciatica or lumbar pain caused by disc hernia or osteochondrosis and recurrent sciatica or lumbar pain after disc operation. 88 of 122 own patients were followed up. Indication, mechanism of steroid action, technic, complications and results are discussed. According to the good results in part of the patients, still after years, the authors believe, that intrathecal corticosteroid administration is a further useful method of conservative treatment of degenerative lumbar disc affections. This therapy can also be used in patients with recurrent, persistent lumbar or leg pain after disc operation.
鞘内注射皮质类固醇用于治疗188例因椎间盘突出或骨软骨病引起的持续性坐骨神经痛或腰痛以及椎间盘手术后复发性坐骨神经痛或腰痛的患者。对122例患者中的88例进行了随访。讨论了适应症、类固醇作用机制、技术、并发症及结果。根据部分患者多年后的良好效果,作者认为鞘内注射皮质类固醇是退行性腰椎间盘疾病保守治疗的一种有效方法。这种疗法也可用于椎间盘手术后出现复发性、持续性腰痛或腿痛的患者。