Assessing the effectiveness of fluoroscopy-guided transforaminal and caudal epidural steroid injections in alleviating chronic pain post-spinal surgery

Background: Chronic Pain following Spinal Surgery (CPSS), formerly known as Failed Back Syndrome, is characterised by persistent or recurring back pain leg occurring beyond three months post spinal surgery (TLIF/PLIF) CPSS patients experience significant functional disability and report a lower quality of life compared to individuals with other chronic conditions. The objective this study compare the advantages, safety, mid-term effects fluoroscopy-guided transforaminal (TF) epidural steroid injection (ESI) caudal (CA) in experiencing after (CPSS). aims assess effectiveness relief improvement functionality resulting from these two approaches.Materials Methods: This was retrospective that included 30 who underwent (CESI) for diagnosis between April 2022 December 2022.The frequencies complications, adverse events, treatment effects, improvements were procedures follow up period 6 months.Results: Oswestry Disability Index (ODI) scores demonstrated both groups at period, without meaningful difference groups. Patients TFESI group had an ODI score average 18.1 ranging 16 22, while CESI averaged 18.7 12 22. amount time used procedure shorter than group. All happy outcome.Conclusion: results present indicate cervical interlaminar (TFESI) are equally effective reducing improving function radicular pain. less discomfort during higher satisfaction CA approach. Both methods effective, but approach tends provide better patient time.