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
- 2020.1
- 수록면
- 183 - 191 (9page)
이용수
초록· 키워드
오류제보하기
Background: Opioids can present intolerable adverse side-effects to patients who use these analgesics to mitigate chronic pain. In this retrospective analysis, cooled radiofrequency (CRF) denervation was evaluated to provide pain and disability relief and reduce opioid use in patients with sacroiliac joint (SIJ) derived low back pain (LBP).Methods: Twenty-seven patients with pain from SIJ refractory to conservative treat-ments, and taking opioids chronically (> 3 mo), were included. Numeric rating scale (NRS) and Oswestry disability index (ODI) scores were collected at 1, 6, and 12 months post-procedure. Opioid use between baseline and each follow-up visit was compared for the entire group and for those who experienced successful (pain re-duction ≥ 50% of baseline value) or unsuccessful CRF denervation.Results: Severe initial mean pain (NRS score: 7.7 ± 1.0) and disability (ODI score: 50.1 ± 9.0), and median opioid use (morphine equivalent daily dose: 40 ± 37 mg) were significantly reduced up to 12 months post-intervention. CRF denervation was successful in 44.4% of the patients at 12 months. Regardless of procedure suc-cess, patients demonstrated similar opioid reductions and changes in opioid use at 12 months. Two patients (7.4%) experienced neuritis following CRF denervation.Conclusions: CRF denervation of the SIJ can safely elicit pain and disability relief, and reduce opioid use, regardless of intervention success. Future studies may sup-port CRF denervation as a dependable therapy to alleviate opioid use in patients with SIJ-derived LBP and show that opioid use measurements can be a surrogate indicator of pain.
목차
등록된 정보가 없습니다.
참고문헌 (47)
참고문헌 신청
Cohen SP / 2005 / Sacroiliac joint pain : a comprehensive review of anatomy, diagnosis, and treatment / Anesth Analg 101:1440~1453
Dreyfuss P / 2004 / Sacroiliac joint pain / J Am Acad Orthop Surg 12:255~265
Hansen H / 2012 / A systematic evaluation of the therapeutic effectiveness of sacroiliac joint interventions / Pain Physician 15:E247~78
Simopoulos TT / 2015 / Systematic review of the diagnostic accuracy and therapeutic effectiveness of sacroiliac joint interventions / Pain Physician 18:E713~56
이재담 / 2009 / 천장관절 증후군 환자에서 관절강 내 증식치료의 효과 / The Korean Journal of Pain 22(3):229~233
Dreyfuss P / 2004 / Sacroiliac joint pain / J Am Acad Orthop Surg 12:255~265
Hansen H / 2012 / A systematic evaluation of the therapeutic effectiveness of sacroiliac joint interventions / Pain Physician 15:E247~78
Simopoulos TT / 2015 / Systematic review of the diagnostic accuracy and therapeutic effectiveness of sacroiliac joint interventions / Pain Physician 18:E713~56
이재담 / 2009 / 천장관절 증후군 환자에서 관절강 내 증식치료의 효과 / The Korean Journal of Pain 22(3):229~233
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