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
- 2016.1
- 수록면
- 96 - 102 (7page)
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초록· 키워드
오류제보하기
Background: It is widely accepted that cervical interlaminar steroid injection (CIESI) is more effective in treating radicular pain than axial neck pain, but without direct comparison. And the differences of effect after CIESI according to MRI findings are inconsistent. In this retrospective study, we evaluated the therapeutic response of CIESI according to pain sites, durations, MRI findings, and other predictive factors altogether, unlike previous studies, which evaluated them separately. Methods: The medical records of 128 patients who received fluoroscopy guided CIESI were analyzed. We evaluated the therapeutic response (more than a 50% reduction on the visual analog scale [VAS] by their second visit) after CIESI by (1) pain site; neck pain without radicular pain/radicular pain with or without neck pain, (2) pain duration; acute/chronic (more than 6 month), and (3) findings of MRI; herniated intervertebral disc (HIVD)/spinal stenosis, respectively and altogether.Results: Eighty-eight patients (68%) responded to CIESI, and there were no significant differences in demographic data, initial VAS score, or laboratory findings. And there were no significant differences in the response rate relating to pain site, pain duration, or MRI findings, respectively. In additional analysis, acute radicular pain with HIVD patients showed significantly better response than chronic neck pain with spinal stenosis (P = 0.04). Conclusions: We cannot find any sole predictive factor of therapeutic response to the CIESI. But the patients having acute radicular pain with HIVD showed the best response, and those having other chronic neck pain showed the worst response to CIESI. (Korean J Pain 2016; 29: 96-102)
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Rowlingson JC / 1986 / Epidural analgesic techniques in the management of cervical pain / Anesth Analg 65:938~942
Manchikanti L / 2013 / An update of comprehensive evidence-based guidelines for interventional techniques in chronic spinal pain. Part II: guidance and recommendations / Pain Physician 16(2 Suppl):S49~S283
Diwan S / 2012 / Effectiveness of cervical epidural injections in the management of chronic neck and upper extremity pain / Pain Physician 15:E405~E434
Manchikanti L / 2009 / Comprehensive evidence-based guidelines for interventional techniques in the management of chronic spinal pain / Pain Physician 12:699~802
Benzon HT / 2013 / The long journey of epidural steroid injections / Reg Anesth Pain Med 38:171~172
Manchikanti L / 2013 / An update of comprehensive evidence-based guidelines for interventional techniques in chronic spinal pain. Part II: guidance and recommendations / Pain Physician 16(2 Suppl):S49~S283
Diwan S / 2012 / Effectiveness of cervical epidural injections in the management of chronic neck and upper extremity pain / Pain Physician 15:E405~E434
Manchikanti L / 2009 / Comprehensive evidence-based guidelines for interventional techniques in the management of chronic spinal pain / Pain Physician 12:699~802
Benzon HT / 2013 / The long journey of epidural steroid injections / Reg Anesth Pain Med 38:171~172
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