{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T18:55:59Z","timestamp":1769108159546,"version":"3.49.0"},"reference-count":29,"publisher":"Asian Spine Journal (ASJ)","issue":"4","license":[{"start":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T00:00:00Z","timestamp":1745280000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["asianspinejournal.org"],"crossmark-restriction":true},"short-container-title":["Asian Spine J"],"published-print":{"date-parts":[[2025,8,31]]},"abstract":"<jats:p>Study Design: A retrospective cohort study.Purpose: This study aimed to evaluate the efficacy of intradiscal steroid injection (ISI) in managing patients with spinal stenosis.Overview of Literature: ISI has shown effectiveness in relieving lower back pain in patients with degenerative disc disease. However, its potential utility in managing the symptoms of spinal stenosis remains unexplored.Methods: This study included 260 patients with spinal stenosis who complained of lower back pain and radiating pain in the lower extremities. During the ISI, a mixture of 1 mL of dexamethasone 5 mg and 1 mL of ropivacaine 0.2% was administered. Pain levels were assessed at weeks 2 and 6 after ISI using the Visual Analog Scale (VAS) for back and leg pain. Patients requiring surgery within a year because of persistent or worsening symptoms were analyzed, and pain score changes between the surgical and nonsurgical groups were compared.Results: ISI significantly reduced the initial back pain VAS score (8.85) and leg pain VAS score (8.91) at weeks 2 (back pain=4.58; p&lt;0.001, leg pain=4.42; p&lt;0.001) and 6 (back pain=4.79; p&lt;0.001, leg pain=4.70; p&lt;0.001). A total of 228 patients (87.7%) showed improvement of initial symptoms without the need for surgery 1 year after ISI. The surgical and nonsurgical groups showed improvement in leg and back pain VAS scores 2 weeks after ISI. However, in the surgical group, a significant trend was noted toward worsening back and leg pain VAS score at week 6 after ISI.Conclusions: ISI effectively provided temporary pain relief for patients with lumbar spinal stenosis. The majority of patients, up to 1 year later, only necessitate conservative management of their symptoms and do not require surgery. In particular, if the improvement in pain persists up to 6 weeks after the ISI, surgical intervention may be delayed in favor of more conservative treatments.<\/jats:p>","DOI":"10.31616\/asj.2024.0513","type":"journal-article","created":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T02:06:31Z","timestamp":1745287591000},"page":"545-552","update-policy":"https:\/\/doi.org\/10.31616\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Effectiveness of intradiscal steroid injection for spinal stenosis: a retrospective cohort study in South Korea"],"prefix":"10.31616","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8695-3547","authenticated-orcid":true,"given":"Jin Hwan","family":"Kim","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2559-4066","authenticated-orcid":true,"given":"Sung Tan","family":"Cho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-8940-4007","authenticated-orcid":true,"given":"Byung Jik","family":"Kim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4939-8350","authenticated-orcid":true,"given":"Su Whi","family":"Chae","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4491-6569","authenticated-orcid":true,"given":"Wongthawat","family":"Liawrungrueang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16744","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2012.03.021"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s00508-013-0404-5"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2004.03.024"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-007-9015-y"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1002\/jsp2.1186"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.31616\/asj.2023.0121"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.16082.1"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.31616\/asj.2022.0366"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1002\/jor.25240"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200109010-00011"},{"key":"ref11","first-page":"88","volume-title":"The efficacy of intradiscal steroid injections in degenerative lumbar disc disease","author":"Yavuz","year":"2012"},{"key":"ref12","first-page":"91","volume-title":"The applied anatomy of spinal circulation in spinal stenosis","author":"Crock","year":"1992"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199006000-00021"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/s1047-9651(02)00078-5"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.31616\/asj.2021.0164"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/s0049-0172(98)80029-2"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnz161"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.nic.2010.02.006"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-199701150-00001"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2018.10.014"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.afos.2024.06.001"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s12178-007-9003-2"},{"key":"ref23","first-page":"1787","volume-title":"The Maine Lumbar Spine Study, Part III. 1-year outcomes of surgical and nonsurgical management of lumbar spinal stenosis","author":"Atlas","year":"1996"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.3109\/17453679309160122"},{"key":"ref25","first-page":"197","volume-title":"Nonoperative treatment for lumbar spinal stenosis: clinical and outcome results and a 3-year survivorship analysis","author":"Simotas","year":"2000"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.31616\/asj.2023.0115"},{"key":"ref27","first-page":"E841","volume-title":"Effectiveness of epidural balloon neuroplasty in patients with chronic spinal stenosis accompanied by redundant nerve roots: a longitudinal cohort study","author":"Sim","year":"2022"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200011150-00017"},{"key":"ref29","first-page":"473","volume-title":"The MOS 36-item short-form health survey (SF-36). 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