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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 814 - 821 (8page)
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초록· 키워드
오류제보하기
Objective To suggest rotation angles of fluoroscopy that can bypass the carotid sheath according to vertebral levels for cervical transforaminal epidural steroid injection (TFESI). Methods Patients who underwent cervical spine magnetic resonance imaging (MRI) from January 2009 to October 2017 were analyzed. In axial sections of cervical spine MRI, three angles to the vertical line (α, angle not to insult carotid sheath; β, angle for the conventional TFESI; γ, angle not to penetrate carotid artery) were measured. Results Alpha (α) angles tended to increase for upper cervical levels (53.3° in C6-7, 65.2° in C5-6, 75.3° in C4-5, 82.3° in C3-4). Beta (β) angles for conventional TFESI showed a constant value of 45° to 47° (47.5° in C6-7, 47.4° in C5-6, 45.7° in C4-5, 45.0° in C3-4). Gamma (γ) angles increased at higher cervical levels as did α angles (25.2° in C6-7, 33.6° in C5-6, 43.0° in C4-5, 56.2° in C3-4). Conclusion The risk of causing injury by penetrating major vessels in the carotid sheath tends to increase at upper cervical levels. Therefore, prior to cervical TFESI, measuring the angle is necessary to avoid carotid vessels in the axial section of CT or MRI, thus contributing to a safer procedure.
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등록된 정보가 없습니다.
참고문헌 (35)
참고문헌 신청
Van Zundert J / 2010 / 4. Cervical radicular pain / Pain Pract 10:1~17
Rathmell JP / 2004 / Cervical transforaminal injection of steroids / Anesthesiology 100:1595~1600
Kang JD / 1997 / Toward a biochemical understanding of human intervertebral disc degeneration and herniation. Contributions of nitric oxide, interleukins, prostaglandin E2, and matrix metalloproteinases / Spine (Phila Pa 1976) 22:1065~1073
House LM / 2018 / Cervical Epidural steroid injection: techniques and evidence / Phys Med Rehabil Clin N Am 29:1~17
Diwan S / 2012 / Effectiveness of cervical epidural injections in the management of chronic neck and upper extremity pain / Pain Physician 15:E405~E434
Rathmell JP / 2004 / Cervical transforaminal injection of steroids / Anesthesiology 100:1595~1600
Kang JD / 1997 / Toward a biochemical understanding of human intervertebral disc degeneration and herniation. Contributions of nitric oxide, interleukins, prostaglandin E2, and matrix metalloproteinases / Spine (Phila Pa 1976) 22:1065~1073
House LM / 2018 / Cervical Epidural steroid injection: techniques and evidence / Phys Med Rehabil Clin N Am 29:1~17
Diwan S / 2012 / Effectiveness of cervical epidural injections in the management of chronic neck and upper extremity pain / Pain Physician 15:E405~E434
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