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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
- 2015.1
- 수록면
- 691 - 697 (7page)
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초록· 키워드
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Purpose: Percutaneous epidural neuroplasty (PEN) is a minimally invasive treatment.
The efficacy of PEN has been relatively well investigated; however, the relationshipbetween the clinical effectiveness of PEN and the severity of spinal canal stenosis by disc material has not yet been established. The purpose of this study was to compare clinical outcomes of PEN according to the dural sac cross-sectionalarea in single level disc disease. Materials and Methods: This study included 363 patients with back pain from single level disc disease with and without radiculopathy.
Patients were categorized into groups according to spinal canal compromiseby disc material: Category 1, less or more than 50%; and Category 2, three subgroups with lesser than a third, between a third and two thirds, and more than two thirds. Clinical outcomes were assessed according to the Visual Analog Scale (VAS) score for back pain and leg pain and Odom’s criteria at 1, 3, 6, 12, and 24 months after treatment. Results: The demographic data showed no difference betweengroups according to spinal canal compromise by disc material except age (older age correlated with more spinal canal compromise). The dural sac cross-sectional area did not correlate with the VAS scores for back and leg pain after PEN in single level disc disease in Groups 1 and 2. Odom’s criteria after PEN were also not different according to dural sac cross-sectional area by disc material. Conclusion: PEN is an effective procedure in treating single level lumbar disc herniationwithout affecting dural sac cross-sectional area.
목차
등록된 정보가 없습니다.
참고문헌 (16)
참고문헌 신청
Athiviraham A / 2007 / Clinical correlation of radiological spinal stenosis after standardization for vertebral body size / Clin Radiol 62 : 776 ~ 780
Campbell MJ / 2007 / Correlation of spinal canal dimensions to efficacy of epidural steroid injection in spinal stenosis / J Spinal Disord Tech 20 : 168 ~ 171
Epter RS / 2009 / Systematic review of percutaneous adhesiolysis and management of chronic low back pain in post lumbar surgery syndrome / Pain Physician 12 : 361 ~ 378
Ji GY / 2013 / 101 Clinical course after percutaneous epidural neuroplasty according to the type of single level herniated lumbar disc with 12 months follow-up / Neurosurgery
Manchikanti L / 2001 / Effectiveness of percutaneous adhesiolysis with hypertonic saline neurolysis in refractory spinal stenosis / Pain Physician 4 : 366 ~ 373
Campbell MJ / 2007 / Correlation of spinal canal dimensions to efficacy of epidural steroid injection in spinal stenosis / J Spinal Disord Tech 20 : 168 ~ 171
Epter RS / 2009 / Systematic review of percutaneous adhesiolysis and management of chronic low back pain in post lumbar surgery syndrome / Pain Physician 12 : 361 ~ 378
Ji GY / 2013 / 101 Clinical course after percutaneous epidural neuroplasty according to the type of single level herniated lumbar disc with 12 months follow-up / Neurosurgery
Manchikanti L / 2001 / Effectiveness of percutaneous adhesiolysis with hypertonic saline neurolysis in refractory spinal stenosis / Pain Physician 4 : 366 ~ 373
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