지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 941 - 949 (9page)
이용수
초록· 키워드
오류제보하기
Objective To investigate the efficacy of percutaneous adhesiolysis (PA) compared to fluoroscopy (FL)-guided transforaminal epidural steroid injection (TFESI) in patients with radicular pain caused by lumbar foraminal spinal stenosis (LFSS) by assessing pain relief and functional improvement at 4 and 12 weeks post-procedure.
Methods This retrospective study included 45 patients who underwent PA or FL-guided TFSEI for radicular pain caused by LFSS of at least 3 months’ duration. Outcomes were assessed with the Oswestry Disability Index (ODI) and Verbal Numeric Pain Scale (VNS) before the procedure and at 4 and 12 weeks post-procedure. A successful outcome was defined by >50% improvement in the VNS score and >40% improvement in the ODI score.
Results ODI and VNS scores improved 4 and 12 weeks post-procedure in both groups. Statistically significant differences between groups were observed in ODI and VNS at 12 weeks (p<0.05). The proportion of patients with successful outcomes was significantly different between the two groups only at the 12-week time point.
Conclusion Our study suggests that PA is effective for pain reduction and functional improvement in patients with chronic radicular pain caused by LFSS. Therefore, PA can be considered for patients with previous ineffective responses to conservative treatment. Although PA seems to be more effective than TFEFI according to the results of our study, in order to fully elucidate the difference in effectiveness, a prospective study with a larger sample size is necessary.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Bogduk N. / 2009 / On the definitions and physiology of back pain, referred pain, and radicular pain / Pain 147 : 17 ~ 19
Chopra P / 2005 / Role of adhesiolysis in the management of chronic spinal pain: a systematic review of effectiveness and complications / Pain Physician 8 : 87 ~ 100
Cooper RG / 1995 / Herniated intervertebral disc-associated periradicular fibrosis and vascular abnormalities occur without inflammatory cell infiltration / Spine (Phila Pa
Fairbank JC / 2000 / The Oswestry Disability Index / Spine (Phila Pa 1976) 25 : 2940 ~ 2952
Frank Lee / 2014 / Epidural Lysis of Adhesions / The Korean Journal of Pain 27 (1) : 3 ~ 15
Chopra P / 2005 / Role of adhesiolysis in the management of chronic spinal pain: a systematic review of effectiveness and complications / Pain Physician 8 : 87 ~ 100
Cooper RG / 1995 / Herniated intervertebral disc-associated periradicular fibrosis and vascular abnormalities occur without inflammatory cell infiltration / Spine (Phila Pa
Fairbank JC / 2000 / The Oswestry Disability Index / Spine (Phila Pa 1976) 25 : 2940 ~ 2952
Frank Lee / 2014 / Epidural Lysis of Adhesions / The Korean Journal of Pain 27 (1) : 3 ~ 15
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