Transforaminal Epidural Block and Erector Spinae Plane Block to Manage Acute Zoster-Associated Pain: A Retrospective Case–Control Study
Abstract
:1. Introduction
2. Methods
2.1. Participants
2.2. Procedures
2.2.1. TFEI
2.2.2. ESPB
2.3. Data Collection
2.4. Outcome Measures
2.5. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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TFEI Group (n = 32) | ESPB Group (n = 21) | p-Value | |
---|---|---|---|
Age ± SD, years | 59.79 ± 14.28 | 66.46 ± 12.57 | 0.058 |
Gender (male/female) | 12/20 | 6/15 | 0.502 |
Direction (right/left) | 17/15 | 8/13 | 0.284 |
NRS before procedure | 7.06 ± 1.61 (95% CI: 6.47–7.59) | 6.48 ± 1.54 (95% CI: 5.71–6.94) | 0.586 |
Dermatome | |||
Chest area (T1–4) | 16 | 14 | 0.142 |
Below chest to umbilicus (T5–10) | 11 | 7 | |
Below umbilicus (T11,12) | 5 | 0 | |
Underlying disease | |||
cardiovascular | 7 | 6 | 0.739 |
Diabetes | 3 | 3 | |
Thyroid | 2 | 0 | |
Combined | 4 | 3 | |
None | 16 | 9 | |
Time to the first procedure from zoster onset, days | 12.50 ± 8.55 | 17.25 ± 12.52 | 0.082 |
Number of procedures during the review period | 2.00 ± 1.04 | 2.36 ± 1.98 | 0.367 |
Time Point | TFEI Group | ESPB Group | p-Value |
---|---|---|---|
1 week | 3.13 ± 1.81, n = 34 (95% CI: 2.53–3.76) | 2.95 ± 2.01, n = 28 (95% CI: 2.55–4.10) | 0.747 |
1 month | 2.00 ± 1.63, n = 29 (95% CI: 1.40–2.60) | 2.05 ± 2.01, n = 18 (95% CI: 1.14–2.95) | 0.201 |
2 months | 1.40 ± 1.71, n = 10 (95% CI: 0.17–2.63) | 2.00 ± 0.82, n = 4 (95% CI: 0.70–3.30) | 0.522 |
3 months | 3.00 ± 1.73, n = 3 (95% CI: −1.30–7.30) | 3.00, n = 1 | 1.000 |
Anticonvulsant (Pregabalin-Equivalent Dose) | Analgesics (Morphine-Equivalent Dose) | |||||
---|---|---|---|---|---|---|
TFEI Group | ESPB Group | p-Value | TFEI Group | ESPB Group | p-Value | |
Pre-procedure | 54.06 ± 42.99, n = 32 | 57.62 ± 46.98, n = 21 | 0.778 | 19.79± 5.27, n = 31 | 21.00 ± 3.16, n = 21 | 0.516 |
1 week | 120.00 ± 71.58, n = 31 | 114.29 ± 95.22, n = 21 | 0.806 | 19.57 ± 9.08, n = 31 | 21.92 ± 2.08, n = 21 | 0.202 |
1 month | 186.90 ± 104.14, n = 29 | 127.50 ± 83.61, n = 15 | 0.048 * | 18.26 ± 9.74, n = 26 | 14.14 ± 10.40, n = 13 | 0.223 |
2 months | 235.71 ± 75.00, n = 7 | 75.00 ± 0.00, n = 2 | 0.031 * | 23.50 ± 13.09, n = 6 | 22.50, n = 1 | 0.644 |
3 months | 250.00 ± 86. 60, n = 3 | 75.00, n = 1 | 0.222 | 23.75 ± 18.49, n = 3 | 0.00, n = 0 | 0.382 |
Anticonvulsant | Analgesics | |||||
---|---|---|---|---|---|---|
TFEI Group, n (%) | ESPB Group, n (%) | p-Value | TFEI Group, n (%) | ESPB Group, n (%) | p-Value | |
1 week | 1/31 (3.12%) | 0/21 (0.00%) | 0.413 | 1/31 (3.12%) | 0/21 (0.00%) | 0.413 |
1 month | 3/29 (9.37%) | 6/15 (28.57%) | 0.069 | 6/26 (18.75%) | 8/13 (38.09%) | 0.202 |
2 months | 25/7 (78.13%) | 19/2 (90.48%) | 0.126 | 26/6 (81.25%) | 20/1 (95.24%) | 0.223 |
3 months | 29/3 (90.63%) | 20/1 (95.24%) | 0.644 | 29/3 (90.63%) | 21/0 (100.00%) | 0.149 |
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Soh, H.; Ko, Y.; Shin, J.; Kim, E.D. Transforaminal Epidural Block and Erector Spinae Plane Block to Manage Acute Zoster-Associated Pain: A Retrospective Case–Control Study. Medicina 2024, 60, 453. https://doi.org/10.3390/medicina60030453
Soh H, Ko Y, Shin J, Kim ED. Transforaminal Epidural Block and Erector Spinae Plane Block to Manage Acute Zoster-Associated Pain: A Retrospective Case–Control Study. Medicina. 2024; 60(3):453. https://doi.org/10.3390/medicina60030453
Chicago/Turabian StyleSoh, Hyojung, Yeona Ko, Jungwon Shin, and Eung Don Kim. 2024. "Transforaminal Epidural Block and Erector Spinae Plane Block to Manage Acute Zoster-Associated Pain: A Retrospective Case–Control Study" Medicina 60, no. 3: 453. https://doi.org/10.3390/medicina60030453