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PLDD With or Without Transforaminal Epidural Steroid Injection in Lumbar Disc Herniation
Sponsor: Mersin University
Summary
This prospective observational study aims to evaluate the clinical outcomes of patients with single-level lumbar disc herniation who undergo routine percutaneous laser disc decompression (PLDD). In routine clinical practice, some patients receive an additional transforaminal anterior epidural steroid injection during the same session without an extra puncture. This study will prospectively follow patients who receive PLDD alone and those who receive PLDD combined with epidural steroid injection. Pain intensity, functional status, analgesic use, need for additional interventions, and complications will be assessed over time. The results may help to clarify whether adding epidural steroid injection to PLDD improves clinical outcomes in patients with lumbar disc herniation.
Official title: Effect of Adjunct Transforaminal Anterior Epidural Steroid Injection Following Percutaneous Laser Disc Decompression in Patients With Single-Level Lumbar Disc Herniation: A Prospective Observational Study
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
OBSERVATIONAL
Enrollment
88
Start Date
2026-03-01
Completion Date
2027-09-01
Last Updated
2026-02-10
Healthy Volunteers
No
Interventions
Percutaneous Laser Disc Decompression (PLDD)
Routine minimally invasive laser-based disc decompression performed under fluoroscopic guidance to reduce intradiscal pressure in patients with lumbar disc herniation.
Transforaminal Anterior Epidural Steroid Injection
Routine transforaminal anterior epidural injection of dexamethasone performed under fluoroscopic guidance following PLDD during the same session without additional puncture.
Locations (1)
Mersin University Faculty of Medicine, Department of Algology
Mersin, Yenişehir, Turkey (Türkiye)