The Usefulness of Selective Spinal Nerve Root Block / 대한척추외과학회지
Journal of Korean Society of Spine Surgery
;
: 48-54, 2004.
Article
in Korean
| WPRIM
| ID: wpr-81978
ABSTRACT
PURPOSE:
A retrospective study on the usefulness of selective spinal nerve root block among lumbar herniated intervertebral disc (HIVD), spinal stenosis and postoperative syndrome over 10 years. MATERIAL ANDMETHOD:
From a total 1195 patients, whose symptoms were not improved by conservative treatment, 505 treated by selective nerve root block were divided into 3 groups; 150 (29.7%) with HIVD, 313 (62.0%) with spinal stenosis and 42 with postoperative syndrome, and were followed up from Oct. 1992 to Dec 2001. The degree of pain and activity were evaluated by a visual analogue scale method at the out-patient department or through telephone interviews.RESULTS:
The end-results of selective spinal nerve root block, with more than 50% reduction in pain occurred in 380 (75.3%) of the 505 patients. The effectiveness was greater in young patients with HIVD than elderly patients with spinal stenosis. After discharge, 160 patients (31.7%) needed no other treatment 14 (31.0%) with an extrusion type HIVD and 17 (20.0%) with spondylolisthesis. The only 98 patients (19.4%) needed a surgical procedure after selective spinal nerve root block.CONCLUSION:
Selective spinal nerve root block in patients with lower back and radiating pain is a valuable conservative treatment to quickly improved symptoms and avoid surgical procedures and the continuous administration of drugs.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Outpatients
/
Spinal Nerve Roots
/
Spinal Nerves
/
Spinal Stenosis
/
Spondylolisthesis
/
Interviews as Topic
/
Retrospective Studies
/
Intervertebral Disc
Type of study:
Observational study
/
Qualitative research
Limits:
Aged
/
Humans
Language:
Korean
Journal:
Journal of Korean Society of Spine Surgery
Year:
2004
Type:
Article
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