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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
- 2017.1
- 수록면
- 281 - 286 (6page)
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초록· 키워드
오류제보하기
Background: Magnetic resonance imaging (MRI) of the spine is the preferred diagnostic tool for pathologic conditions affecting the spine. However, in patients receiving epidural corticosteroid injection (ESI) for treatment of spinal diseases, there is a possibility of misreading of MR images because of air or fluid in the epidural space after the injection. Therefore, we defined the characteristics of abnormal changes in MRI findings following an ESI in patients with low back pain.Methods: We reviewed the medical records of 133 patients who underwent MRI of the lumbar spine within 7 days after ESI between 2006 and 2015.All patients were administered an ESI using a 22-gauge Tuohy needle at the lumbar spine through the interlaminar approach. The epidural space was identified by the loss of resistance technique with air.Results: The incidences of abnormal changes in MRI findings because of ESI were 54%, 31%, and 25% in patients who underwent MRI at approximately 24 h, and 2 and 3 days after ESI, respectively. Abnormal MRI findings included epidural air or fluid, needle tracks, and soft tissue changes. Epidural air, the most frequent abnormal finding (82%), was observed in 41% of patients who underwent MRI within 3 days after injection. Abnormal findings due to an ESI were not observed in MR images acquired 4 days after ESI or later. Conclusions: Pain physicians should consider the possibility of abnormal findings in MR images acquired after epidural injection using the interlaminar approach and the loss of resistance technique with air at the lumbar spine. (Korean J Pain 2017; 30: 281-6)
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참고문헌 (21)
참고문헌 신청
Alsaleh K / 2017 / Radiographic assessment of degenerative lumbar spinal stenosis: is MRI superior to CT? / Eur Spine J 26 : 362 ~ 367
Ammirati M / 2006 / Symptomatic air trapped in the spine after lumbar epidural corticosteroid injection. Case report / J Neurosurg Spine 5 : 359 ~ 361
Cameron CM / 2007 / A review of neuraxial epidural morbidity: experience of more than 8,000 cases at a single teaching hospital / Anesthesiology 106 : 997 ~ 1002
Choi JH / 2016 / What is the role of epidural steroid injections in lumbar spinal disease with moderate disability? / Pain Physician 19 : 293 ~ 298
Davidson EM / 2008 / Evaluation of magnetic resonance imaging following neuraxial steroid administration: does epidural injection produce pathologic findings? / Reg Anesth Pa
Ammirati M / 2006 / Symptomatic air trapped in the spine after lumbar epidural corticosteroid injection. Case report / J Neurosurg Spine 5 : 359 ~ 361
Cameron CM / 2007 / A review of neuraxial epidural morbidity: experience of more than 8,000 cases at a single teaching hospital / Anesthesiology 106 : 997 ~ 1002
Choi JH / 2016 / What is the role of epidural steroid injections in lumbar spinal disease with moderate disability? / Pain Physician 19 : 293 ~ 298
Davidson EM / 2008 / Evaluation of magnetic resonance imaging following neuraxial steroid administration: does epidural injection produce pathologic findings? / Reg Anesth Pa
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