The impact of vitamin D deficiency on treatment success of cervical interlaminar epidural steroid injection

ŞENCAN S., Sacaklidir R., Ozen Dogan A., Akgunoglu O., Dokumaci B., Alsadah M., ...Daha Fazla

Marmara Medical Journal, cilt.37, sa.3, ss.318-322, 2024 (ESCI) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 37 Sayı: 3
  • Basım Tarihi: 2024
  • Doi Numarası: 10.5472/marumj.1571786
  • Dergi Adı: Marmara Medical Journal
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, Academic Search Premier, CINAHL, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.318-322
  • Anahtar Kelimeler: Cervical radiculopathy, Epidural injection, Neck pain, Vitamin D deficiency
  • Marmara Üniversitesi Adresli: Evet

Özet

Objective: Our aim is to investigate the effect of vitamin D deficiency on treatment success of cervical interlaminar epidural steroid injection (ILESI) in patients with cervical disc herniation-related chronic radiculopathy. Patients and Methods: Fifty patients who had neck and unilateral extremity pain and received cervical ILESI were included. The patients were divided into two groups according to their serum 25 (OH) D levels as Group 1 (>20 ng/mL) and Group 2 (<20 ng/ mL). Clinical and demographic data, magnetic resonance imaging (MRI) scans, pre-procedural laboratory tests, and pain scores were recorded. The patients were assessed before procedure and at three and six months after procedure. Results: Mean serum 25(OH)D level was 29.49±10.9 in Group 1 and 12.06±3.49 in Group 2, indicating a statistically significant difference (p<0.001). A significant improvement in pain scores was observed in both groups at six months of follow-up (p<0.001). Treatment success rates were significantly lower in vitamin D-deficient group at three months (p=0.024), while there was no significant difference between the groups at six months. Conclusions: Vitamin D level is a factor affecting short-term treatment success in patients undergoing cervical ILESI.