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
- 2017.6
- 수록면
- 413 - 420 (8page)
이용수
초록· 키워드
오류제보하기
Objective To observe the contrast spread in superoposterior transforaminal epidural steroid injection (SP TFESI) and investigate the correlation between spread patterns and efficacy.Methods Thirty-one patients with lumbosacral radiculopathy underwent single-level TFESI under fluoroscopy. The final needle tip position was targeted toward the SP quadrant of the intervertebral foramen. To observe the spread, 1 mL of contrast material was injected, followed by a steroid injection. The contrast spread was graded anteroposteriorly and vertically in the epidural space. The effect of SP TFESI was evaluated by proportional pain score reduction.Results Levels injected were L4-5 (n=20) and L5-S1 (n=11). Seventeen cases were lateral, and 14 were central herniated disc (HD). Baseline mean visual analog scale score was 6.23. Contrast dispersed dorsally in all the cases, and 45.2% cases showed a concurrent ventral spread. The proportion of the pain reduction after 2 weeks showed no difference between the two groups. In vertical spreading analysis, mean cephalic/caudal grades were 1.40/1.55 at L4-5 level and 1.73/1.64 at L5-S1 level. The HD location had no effect on contrast dispersion. Conclusion In SP TFESI, ventral contrast spread did not guarantee a better effect; however, the extent of cephalic flow in ventral expansion group correlated with the proportion of pain reduction.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Manchikanti L / 2003 / Evidence-based practice guidelines for interventional techniques in the management of chronic spinal pain / Pain Physician 6:3~81
Boswell MV / 2003 / Epidural steroids in the management of chronic spinal pain and radiculopathy / Pain Physician 6:319~334
Ackerman WE 3rd / 2007 / The efficacy of lumbar epidural steroid injections in patients with lumbar disc herniations / Anesth Analg 104:1217~1222
Manchikanti L / 2000 / Transforaminal lumbar epidural steroid injections / Pain Physician 3:374~398
Lee IS / 2007 / Comparison of the temporary diagnostic relief of transforaminal epidural steroid injection approaches:conventional versus posterolateral technique / AJNR Am J Neuroradiol 28:204~208
Boswell MV / 2003 / Epidural steroids in the management of chronic spinal pain and radiculopathy / Pain Physician 6:319~334
Ackerman WE 3rd / 2007 / The efficacy of lumbar epidural steroid injections in patients with lumbar disc herniations / Anesth Analg 104:1217~1222
Manchikanti L / 2000 / Transforaminal lumbar epidural steroid injections / Pain Physician 3:374~398
Lee IS / 2007 / Comparison of the temporary diagnostic relief of transforaminal epidural steroid injection approaches:conventional versus posterolateral technique / AJNR Am J Neuroradiol 28:204~208
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