Tratamiento de dolor lumbar mediante rizotomía lumbar percutánea e inyecciones epidurales de corticoides del Omni Hospital durante el período comprendido entre enero de 2013 hasta diciembre 2017.

Abstract

Introduction: Low back pain affects a high percentage of the population and has a significant socioeconomic impact. However in Ecuador are few studies related to this pathology. Interventional treatment techniques are indicated when other non-invasive therapies do not achieve satisfactory relief. These include facet rhizotomy and nerve block. Objective: To determine the cost - effectiveness of the treatment for low back pain with percutaneous lumbar rhizotomy and epidural injections with corticoids in the neurosurgery area of the Omni Hospital. Material and Method: this is a observational and analytical cohort study. The sample consists of 115 patients between the ages of 20 and 60 years, who underwent a surgical treatment called facet rhizotomy and nerve block. Results: In the study, A total of 115 patients undergoing minimally invasive treatment for low back pain were included in the study, of which 115 correspond to the area of neurosurgery. During the period from January 2013 to December 2017. The average age of the patients was 39 years. Of the sample, 46 were women and 69 were men. In cost - effectiveness analysis, we obtained that the patients who started with block had a resolution of pain of 92% and average cost of 5880.00 and those who started with rhizotomy obtained a resolution of pain in 69% and an average cost of 3677.00. Conclusion: Both nerve block and rhizotomy are methods that decrease pain levels in a patient with low back pain. However, rhizotomy proved to be more effective with an average of 2.5 in relation to the reduction of levels in the pain scale.