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
- 2015.1
- 수록면
- 105 - 108 (4page)
이용수
초록· 키워드
오류제보하기
Background: The most definitive diagnosis of neck pain caused by facet joints can be obtained through cervical medial branch blocks (CMBBs). However, intravascular injections need to be carefully monitored, as they can increase the risk of false-negative blocks when diagnosing cervical facet joint syndrome. In addition, intravascular injections can cause neurologic deficits such as spinal infarction or cerebral infarction. Digital subtraction angiography (DSA) is a radiological technique that can be used to clearly visualize the blood vessels from surrounding bones or dense soft tissues. The purpose of this study was to compare the rate of detection of intravascular injections during CMBBs using DSA and static images obtained through conventional fluoroscopy.Methods: Seventy-two patients were included, and a total of 178 CMBBs were performed. The respective incidences of intravascular injections during CMBBs using DSA and static images from conventional fluoroscopy were measured. Results: A total of 178 CMBBs were performed on 72 patients. All cases of intravascular injections evidenced by the static images were detected by the DSAs. The detection rate of intravascular injections was higher from DSA images than from static images (10.7% vs. 1.7%, P ＜ 0.001). Conclusions: According to these findings, the use of DSA can improve the detection rate of intravascular injections during CMBBs. The use of DSA may therefore lead to an increase in the diagnostic and therapeutic value of CMBBs. In addition, it can decrease the incidence of potential side effects during CMBBs. (Korean J Pain 2015; 28: 105-108)
목차
등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
Aprill C / 1992 / The prevalence of cervical zygapophyseal joint pain. A first approximation / Spine (Phila Pa 1976) 17 : 744 ~ 747
Boswell MV / 2007 / Interventional techniques : evidence-based practice guidelines in the management of chronic spinal pain / Pain Physician 10 : 7 ~ 111
Brouwers PJ / 2001 / A cervical anterior spinal artery syndrome after diagnostic blockade of the right C6-nerve root / Pain 91 : 397 ~ 399
Falco FJ / 2009 / Systematic review of diagnostic utility and therapeutic effectiveness of cervical facet joint interventions / Pain Physician 12 : 323 ~ 344
Heckmann JG / 2006 / Transient tetraplegia after cervical facet joint injection for chronic neck pain administered without imaging guidance / Clin Neurol Neurosurg 108 : 709
Boswell MV / 2007 / Interventional techniques : evidence-based practice guidelines in the management of chronic spinal pain / Pain Physician 10 : 7 ~ 111
Brouwers PJ / 2001 / A cervical anterior spinal artery syndrome after diagnostic blockade of the right C6-nerve root / Pain 91 : 397 ~ 399
Falco FJ / 2009 / Systematic review of diagnostic utility and therapeutic effectiveness of cervical facet joint interventions / Pain Physician 12 : 323 ~ 344
Heckmann JG / 2006 / Transient tetraplegia after cervical facet joint injection for chronic neck pain administered without imaging guidance / Clin Neurol Neurosurg 108 : 709
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