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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 14 - 20 (7page)
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초록· 키워드
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Objective To compare the long-term effect and safety of an epidural steroid injection in spinal stenosis patients, with or without local anesthetics.Methods Twenty-nine patients diagnosed with spinal stenosis were included and randomly divided into two groups. Translaminar epidural and selective nerve root spinal injection procedures were performed using steroids mixed with local anesthetics or normal saline. The effects of spinal injection procedures were measured with visual analogue scale (VAS) and functional rate index (FRI). These measurements were performed before injection, at 1 month after injection and at 3 months after injection. The occurrence of side effects was investigated each time.Results The VAS and FRI scores were significantly reduced in both the local anesthetics group and normal saline group at 1 and 3 months after the injection. However, there was no significant difference in VAS and FRI score reduction between the two groups each time. Side effects are not noted in both groups.Conclusion The spinal injection procedures using steroids mixed either with local anesthetics or normal saline have an effect in reducing pain and improving functional activities. However, there was no significant difference between the two groups in relation to side effects and the long-term effects of pain and function.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Fritz JM / 1998 / Lumbar spinal stenosis: a review of current concepts in evaluation, management, and outcome measurements / Arch Phys Med Rehabil 79:700~708
Bush K / 1991 / A controlled study of caudal epidural injections of triamcinolone plus procaine for the management of intractable sciatica / Spine (Phila Pa 1976) 16:572~575
Deyo RA / 1992 / Morbidity and mortality in association with operations on the lumbar spine: the influence of age, diagnosis, and procedure / J Bone Joint Surg Am 74:536~543
Cirak B / 2001 / Surgical therapy for lumbar spinal stenosis: evaluation of 300 cases / Neurosurg Rev 24:80~82
McLain RF / 2005 / Epidural steroid therapy for back and leg pain: mechanisms of action and efficacy / Spine J 5:191~201
Bush K / 1991 / A controlled study of caudal epidural injections of triamcinolone plus procaine for the management of intractable sciatica / Spine (Phila Pa 1976) 16:572~575
Deyo RA / 1992 / Morbidity and mortality in association with operations on the lumbar spine: the influence of age, diagnosis, and procedure / J Bone Joint Surg Am 74:536~543
Cirak B / 2001 / Surgical therapy for lumbar spinal stenosis: evaluation of 300 cases / Neurosurg Rev 24:80~82
McLain RF / 2005 / Epidural steroid therapy for back and leg pain: mechanisms of action and efficacy / Spine J 5:191~201
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