CT guided Epidural Steroid Injection / 신경중재치료의학
Neurointervention
;
: 8-12, 2010.
Article
in English
| WPRIM
| ID: wpr-730341
ABSTRACT
PURPOSE:
CT guided epidural steroid injection (ESI) is not commonly used for the management of lumbar pain in Korea. Therefore, we evaluated a short term improvement as defined by the scale of pain after CT guided ESI. MATERIALS ANDMETHODS:
We prospectively followed 29 consecutive patients (average age, 62 years; range, 38-78 years; 10 men, 19 women) with lumbar radiculopathy for a minimal follow-up period of 1 month. The intensity of radicular pain was scored by the patient on the visual analog scan (VAS), from 0 (no pain) to 10 (maximal intensity). Scores before and after the procedure were compared by using the Wilcoxon signed-rank test for paired values. Pain relief was classified as "0" when the pain was completely resolved or had diminished, "1" for not changing, "2" for an increase in pain.RESULTS:
The mean VAS scores were 8 (range, 2-10) before and 5 (range, 1-10) 1 month after the procedure, with significant pain relief (p < .001). Pain relief was divided as 0 in 21 patients (72%), 1 in 8 patients (28%) without anyone of grade 2. There was no procedure-related complication except one patient with temporary left side weakness and sensory change which lasted 1-2 hours and subsided thereafter propably due to temporary route compression caused by previous postoperative adhesion or inadvertent intrathecal injection.CONCLUSION:
Good pain relief can be expected after CT guided ESI. CT guided ESI may have some difficulties in postoperative patient with metal devices or adhesion.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Radiculopathy
/
Spine
/
Prospective Studies
/
Follow-Up Studies
/
Korea
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
/
Male
Country/Region as subject:
Asia
Language:
English
Journal:
Neurointervention
Year:
2010
Type:
Article
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