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
- 2011.1
- 수록면
- 81 - 86 (6page)
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초록· 키워드
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Background:Facet joint disease plays a major role in axial low-back pain. Few diagnostic tests and imaging methods for identifying this condition exist. Single photon emission computed tomography (SPECT) is reported that it has a high sensitivity and specificity in diagnosing facet disease. We prospectively evaluated the use of bone scintigraphy with SPECT for the identification of patients with low back pain who would benefit from medial branch block.
Methods:SPECT was performed on 33 patients clinically suspected of facet joint disease. After SPECT, an ultrasound guided medial branch block was performed on all patients. On 28 SPECT-positive patients, medial branch block was performed based on the SPECT findings. On 5 negative patients, medial branch block was performed based on clinical findings. For one month, we evaluated the patients using the visual analogue scale (VAS) and Oswestry disability index. SigmaStat and paired t-tests were used to analyze patient data and compare results.
Results:Of the 33 patients, the ones who showed more than 50% reduction in VAS score were assigned ‘responders’. SPECT positive patients showed a better response to medial branch blocks than negative patients, but no changes in the Oswestry disability index were seen.
Conclusions:SPECT is a sensitive tool for the identification of facet joint disease and predicting the response to medial branch block.
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참고문헌 (24)
참고문헌 신청
Bogduk N / 2005 / Diagnosing lumbar zygapophysial joint pain / Pain Med 6 : 139 ~ 142
Carette S / 1991 / A controlled trial of corticosteroid injections into facet joints for chronic low back pain / N Engl J Med 325 : 1002 ~ 1007
Carrino JA / 2009 / Lumbar spine: reliability of MR imaging findings / Radiology 250 : 161 ~ 170
Cohen SP / 2007 / Pathogenesis, diagnosis, and treatment of lumbar zygapophysial (facet) joint pain / Anesthesiology 106 : 591 ~ 614
Dolan AL / 1996 / The value of SPECT scans in identifying back pain likely to benefit from facet joint injection / Br J Rheumatol 35 : 1269 ~ 1273
Carette S / 1991 / A controlled trial of corticosteroid injections into facet joints for chronic low back pain / N Engl J Med 325 : 1002 ~ 1007
Carrino JA / 2009 / Lumbar spine: reliability of MR imaging findings / Radiology 250 : 161 ~ 170
Cohen SP / 2007 / Pathogenesis, diagnosis, and treatment of lumbar zygapophysial (facet) joint pain / Anesthesiology 106 : 591 ~ 614
Dolan AL / 1996 / The value of SPECT scans in identifying back pain likely to benefit from facet joint injection / Br J Rheumatol 35 : 1269 ~ 1273
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