{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:33:01Z","timestamp":1787758381672,"version":"build-2784847793"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Low back pain generally involves lumbosacral radicular syndrome, nerve root pain, and nerve root entrapment\/irritation. Management options for patients are variable and diverging. To the highlight the efficacy of combined early decompressive surgery plus intraoperative steroid injections in terms of postoperative back pain in patients managed by our combined team. A prospective study conducted by reviewing all consecutive patients managed, over a 1-year period (2018-2019). This study showed that adjunct use of intraoperative foraminal and epidural steroids injections to treat back pain in patients with degenerative spine disease could significantly improve the pain score which leads to significant decrease in working days off and the need for pain killer medications or even obviating the usage rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aer.aer_88_22","type":"journal-article","created":{"date-parts":[[2022,9,15]],"date-time":"2022-09-15T09:13:58Z","timestamp":1663233238000},"page":"187-190","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["The Lead of Direct Adjuvant Intraoperative Foraminal Steroids' Infiltration"],"prefix":"10.4103","volume":"16","author":[{"given":"Allouzi","family":"Rakan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renad","family":"Aldurgham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anas","family":"Al Abdallat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sa'ed","family":"Haddad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jraisat","family":"Ibrahim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rami Yousef","family":"Alqroom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hussam Abu","family":"Nowar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amro","family":"Odeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-2-20240901","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1186\/1471-2474-15-341","article-title":"Steroid injections added to the usual treatment of lumbar radicular syndrome: A pragmatic randomized controlled trial in general practice","volume":"15","author":"Spijker-Huiges","year":"2014","journal-title":"BMC Musculoskelet Disord"},{"key":"R2-2-20240901","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1111\/pme.12325","article-title":"Comparative effectiveness of lumbar transforaminal epidural steroid injections with particulate versus nonparticulate corticosteroids for lumbar radicular pain due to intervertebral disc herniation: A prospective, randomized, double-blind trial","volume":"15","author":"Kennedy","year":"2014","journal-title":"Pain Med"},{"key":"R3-2-20240901","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.1111\/j.1526-4637.2010.00908.x","article-title":"The efficacy of transforaminal injection of steroids for the treatment of lumbar radicular pain","volume":"11","author":"Ghahreman","year":"2010","journal-title":"Pain Med"},{"key":"R4-2-20240901","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1002\/pri.1572","article-title":"Risk factors for first time incidence sciatica: A systematic review","volume":"19","author":"Cook","year":"2014","journal-title":"Physiother Res Int"},{"key":"R5-2-20240901","doi-asserted-by":"crossref","first-page":"1265","DOI":"10.1136\/jnnp.2009.192906","article-title":"Effect modifiers of outcome of surgery in patients with herniated disc related sciatica? A subgroup analysis of a randomised clinical trial","volume":"81","author":"Arts","year":"2010","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"R6-2-20240901","doi-asserted-by":"crossref","first-page":"1929","DOI":"10.1097\/BRS.0b013e3181b1c99f","article-title":"2009 updated method guidelines for systematic reviews in the Cochrane Back Review Group","volume":"34","author":"Furlan","year":"2009","journal-title":"Spine (Phila Pa 1976"},{"key":"R7-2-20240901","first-page":"835","article-title":"Acute lumbar disk pain: Navigating evaluation and treatment choices","volume":"78","author":"Gregory","year":"2008","journal-title":"Am Fam Physician"},{"key":"R8-2-20240901","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1053\/crad.2002.1071","article-title":"MRI of the post-discectomy lumbar spine","volume":"57","author":"Babar","year":"2002","journal-title":"Clin Radiol"},{"key":"R9-2-20240901","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3109\/17453674.2012.753565","article-title":"Decision making in surgical treatment of chronic low back pain: The performance of prognostic tests to select patients for lumbar spinal fusion","volume":"84","author":"Willems","year":"2013","journal-title":"Acta Orthop Suppl"},{"key":"R10-2-20240901","first-page":"1","article-title":"Magnesium sulphate an angelic allay alleviating postoperative spinal surgery pain","volume":"9","author":"Makhamreh","year":"2020","journal-title":"IJSR"},{"key":"R11-2-20240901","doi-asserted-by":"crossref","first-page":"55","DOI":"10.12816\/0034770","article-title":"Surgery for lumbar disc herniation, demographic data and analysis of complications at King Hussein Medical City","volume":"24","author":"Al Shurbaji","year":"2017","journal-title":"JRMS March"},{"key":"R12-2-20240901","doi-asserted-by":"crossref","first-page":"939","DOI":"10.36076\/ppj.2015\/18\/E939","article-title":"Efficacy of epidural injections in managing chronic spinal pain: A best evidence synthesis","volume":"18","author":"Kaye","year":"2015","journal-title":"Pain Physician"},{"key":"R13-2-20240901","doi-asserted-by":"crossref","first-page":"1362","DOI":"10.1016\/S0003-9993(98)90228-3","article-title":"Fluoroscopic transforaminal lumbar epidural steroids: An outcome study","volume":"79","author":"Lutz","year":"1998","journal-title":"Arch Phys Med Rehabil"},{"key":"R14-2-20240901","doi-asserted-by":"crossref","first-page":"1589","DOI":"10.2106\/00004623-200011000-00012","article-title":"The effect of nerve-root injections on the need for operative treatment of lumbar radicular pain. A prospective, randomized, controlled, double-blind study","volume":"82","author":"Riew","year":"2000","journal-title":"J Bone Joint Surg Am"},{"key":"R15-2-20240901","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1097\/00007632-200201010-00005","article-title":"Transforaminal epidural steroid injections in lumbosacral radiculopathy: A prospective randomized study","volume":"27","author":"Vad","year":"2002","journal-title":"Spine (Phila Pa 1976"},{"key":"R16-2-20240901","first-page":"7","article-title":"Interventional techniques: Evidence-based practice guidelines in the management of chronic spinal pain","volume":"10","author":"Boswell","year":"2007","journal-title":"Pain Physician"},{"key":"R18-2-20240901","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1056\/NEJM193408022110506","article-title":"Rupture of the intervertebral disc with involvement of the spinal canal","volume":"211","author":"Mixter","year":"1934","journal-title":"N Engl J Med"},{"key":"R19-2-20240901","doi-asserted-by":"crossref","first-page":"E7","DOI":"10.3171\/foc.2004.16.1.8","article-title":"The \u201ctract\u201d of history in the treatment of lumbar degenerative disc disease","volume":"16","author":"Chedid","year":"2004","journal-title":"Neurosurg Focus"},{"key":"R20-2-20240901","first-page":"154","article-title":"Angiogenesis in the degeneration of the lumbar intervertebral disc","volume":"3","author":"David","year":"2010","journal-title":"J Med Life"},{"key":"R21-2-20240901","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/j.wneu.2016.02.047","article-title":"Prospective comparison of microsurgical, tubular-based endoscopic, and endoscopically assisted diskectomies: Clinical effectiveness and complications in railway workers","volume":"90","author":"Belykh","year":"2016","journal-title":"World Neurosurg"},{"key":"R22-2-20240901","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1097\/01.brs.0000249527.17105.aa","article-title":"Translaminar microsurgical approach for lumbar herniated nucleus pulposus (HNP) in the \u201chidden zone\u201d: Clinical and radiologic results in a series of 24 patients","volume":"32","author":"Bernucci","year":"2007","journal-title":"Spine (Phila Pa 1976"},{"key":"R23-2-20240901","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1227\/NEU.0b013e3182315f05","article-title":"Evaluation of epidural analgesic paste components in lumbar decompressive surgery: A randomized double-blind controlled trial","volume":"70","author":"Diaz","year":"2012","journal-title":"Neurosurgery"},{"key":"R24-2-20240901","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1007\/s00264-008-0547-6","article-title":"Local application of low-dose depo-medrol is effective in reducing immediate postoperative back pain","volume":"33","author":"Modi","year":"2009","journal-title":"Int Orthop"},{"key":"R25-2-20240901","first-page":"51","article-title":"The epidural steroids in the prevention of epidural fibrosis: MRI and clinical findings","volume":"30","author":"H\u00e4ckel","year":"2009","journal-title":"Neuro Endocrinol Lett"},{"key":"R26-2-20240901","doi-asserted-by":"crossref","first-page":"745","DOI":"10.3171\/2010.6.SPINE09796","article-title":"Perioperative epidural steroids for lumbar spine surgery in degenerative spinal disease. A review","volume":"13","author":"Ranguis","year":"2010","journal-title":"J Neurosurg Spine"},{"key":"R27-2-20240901","first-page":"621","article-title":"The effect of impregnated autogenous epidural adipose tissue with bupivacaine, methylprednisolone acetate or normal saline on postoperative radicular and low back pain in lumbar disc surgery under spinal anesthesia; A randomized clinical trial study","volume":"16","author":"Abrishamkar","year":"2011","journal-title":"J Res Med Sci"},{"key":"R28-2-20240901","first-page":"B5468","article-title":"Adjuvant analgesics for spine surgery","volume":"65","author":"Nielsen","year":"2018","journal-title":"Dan Med J"}],"container-title":["Anesthesia Essays &amp; Researches"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aer.aer_88_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:14:18Z","timestamp":1787757258000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aer.aer_88_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":27,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/aer.aer_88_22","relation":{},"ISSN":["0259-1162"],"issn-type":[{"value":"0259-1162","type":"print"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}