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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
- 2016.1
- 수록면
- 1,324 - 1,330 (7page)
이용수
초록· 키워드
오류제보하기
Transforaminal Epidural steroid injections (TFESI) have been widely adopted to alleviate and control radicular pain in accord with current guidelines. However, sometimes repeated steroid injections have adverse effects, and thus, this prospective randomized trial was undertaken to compare the effectivenesses of pulsed radiofrequency (PRF) administered to a targeted dorsal root ganglion (DRG) and TFESI for the treatment of radicular pain due to disc herniation. Subjects were recruited when first proved unsuccessful (defined as a score of > 4 on a visual analogue scale (VAS; 0-10 mm) and of > 30% according to the Oswestry Disability Index (ODI) or the Neck Disability Index (NDI)). Forty-four patients that met the inclusion criteria were enrolled. The 38 subjects were randomly assigned to receive either PRF (PRF group; n = 19) or additional TFESI (TFESI group; n = 19) and were then followed for 2, 4, 8, and 12 weeks. To evaluate pain intensity were assessed by VAS. ODI and NDI were applied to evaluate functional disability. Mean VAS scores for cervical and lumbar radicular pain were significantly lower 12 weeks after treatment in both study groups. NDI and ODI scores also declined after treatment. However, no statistically significant difference was observed between the PRF and TFESI groups in terms of VAS, ODI, or NDI scores at any time during follow-up. PRF administered to a DRG might be as effective as TFESI in terms of attenuating radicular pain caused by disc herniation, and its use would avoid the adverse effects of steroid.
목차
등록된 정보가 없습니다.
참고문헌 (40)
참고문헌 신청
Weiner BK / 1997 / Foraminal injection for lateral lumbar disc herniation / J Bone Joint Surg Br 79:804~807
Lutz GE / 1998 / Fluoroscopic transforaminal lumbar epidural steroids : an outcome study / Arch Phys Med Rehabil 79:1362~1366
Vad VB / 2002 / Transforaminal epidural steroid injections in lumbosacral radiculopathy : a prospective randomized study / Spine 27:11~16
Botwin KP / 2000 / Complications of fluoroscopically guided transforaminal lumbar epidural injections / Arch Phys Med Rehabil 81:1045~1050
Baker R / 2003 / Cervical transforaminal injection of corticosteroids into a radicular artery : a possible mechanism for spinal cord injury / Pain 103:211~215
Lutz GE / 1998 / Fluoroscopic transforaminal lumbar epidural steroids : an outcome study / Arch Phys Med Rehabil 79:1362~1366
Vad VB / 2002 / Transforaminal epidural steroid injections in lumbosacral radiculopathy : a prospective randomized study / Spine 27:11~16
Botwin KP / 2000 / Complications of fluoroscopically guided transforaminal lumbar epidural injections / Arch Phys Med Rehabil 81:1045~1050
Baker R / 2003 / Cervical transforaminal injection of corticosteroids into a radicular artery : a possible mechanism for spinal cord injury / Pain 103:211~215
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