The Effect of Epidural Steroids on Postoperative Pain and Hospital Stay in Patients Having a Single-Level Lumbar Discectomy

Authors

  • Naseer Hassan Nowshera Medical College/Qazi Hussain Ahmad Medical Complex, Nowshera
  • Raza Hassan North West General Hospital and Research Center, Peshawar
  • Muhammad Usman Fazaia Medical College, PAF Hospital, Islamabad
  • Farooq Azam Lady Reading Hospital, Peshawar
  • Hanif Ur Rehman Prime Teaching Hospital/Peshawar Medical College
  • Alamzeb Jadoon Nowshera Medical College, Nowshera
  • Momina Saleem Khyber College of Dentistry, Peshawar

DOI:

https://doi.org/10.37762/jgmds.10-3.452

Keywords:

Epidural Steroids, Postoperative Pain, Lumbar Discectomy

Abstract

OBJECTIVES

To determine the effect 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 first follow-up, the VAS 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 beneficial in reducing post-operative pain and hospital stay.

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Author Biographies

Naseer Hassan, Nowshera Medical College/Qazi Hussain Ahmad Medical Complex, Nowshera

Associate Professor, Head of Neurosurgery Department,
Nowshera Medical College/Qazi Hussain Ahmad Medical Complex, Nowshera

Raza Hassan, North West General Hospital and Research Center, Peshawar

Assistant Professor, Department of Orthopedic, 
North West General Hospital and Research Center, Peshawar

Muhammad Usman, Fazaia Medical College, PAF Hospital, Islamabad

Associate Professor, Department of Neurosurgery,
Fazaia Medical College, PAF Hospital, Islamabad

Farooq Azam, Lady Reading Hospital, Peshawar

Professor, Department of Neurosurgery,
Lady Reading Hospital, Peshawar

Hanif Ur Rehman, Prime Teaching Hospital/Peshawar Medical College

Assistant Professor, Department of Neurosurgery,
Prime Teaching Hospital/Peshawar Medical College

Alamzeb Jadoon, Nowshera Medical College, Nowshera

Associate Professor, Department of Physiology,
Nowshera Medical College, Nowshera

Momina Saleem, Khyber College of Dentistry, Peshawar

Trainee Medical Officer, Department of Orthodontics,
Khyber College of Dentistry, Peshawar

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Published

2023-07-01

How to Cite

Hassan, N., Hassan, R., Usman, M. ., Azam, F. ., Rehman, H. U. ., Jadoon, A., & Saleem, M. . (2023). 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 Science, 10(3), 77–80. https://doi.org/10.37762/jgmds.10-3.452

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