The Effects of Selective Spinal Nerve Root Steroid Injedtion for Low Back Pain and Radicular Pain in Patients with Interbetebral Disc Herniation or Spinal stenosis / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 110-115, 1997.
Article
in Korean
| WPRIM
| ID: wpr-123956
ABSTRACT
BACKGROUND:
At present, epidural steroid injection is one of the most frequently used methods in the treatment for low back pain.. But this method is nonspecific and results in a widespread of injected agent around the target point. Therefore we thought direct injection to the nerve root is more specific and effective.METHODS:
The authors evaluated the effects of lumbar paravertebral steroid injection in 39 patients with low back pain and radicular pain, retrospectively. We used triamcinolone 40mg(1ml) and 0.25% bupivacaine 3ml as injection agents and used pain relief scale(PRS) score for assessment of the effect.RESULTS:
One week after injection, the patients of PRS score less than 5 were 65% in spinal stenosis and 85% in herniated intervertebral disc(HIVD). The patients of effective response more than 4 weeks after injection were 48% in spinal stenosis and 68% in HIVD, more than 12 weeks were 22% and 38%, respectively. The patients of PRS score less than 5 were 45% at the time of follow-up study.CONCLUSIONS:
We think paravertebral steroid injection is effective in patients with low back pain and radicular pain. Therefore, this technique could be alternative method to epidural steroid injection.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Spinal Nerve Roots
/
Spinal Nerves
/
Spinal Stenosis
/
Bupivacaine
/
Triamcinolone
/
Retrospective Studies
/
Follow-Up Studies
/
Low Back Pain
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
1997
Type:
Article
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