CT guided Epidural Steroid Injection / 신경중재치료의학
Neurointervention
;
: 8-12, 2010.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Radiculopatia
/
Coluna Vertebral
/
Estudos Prospectivos
/
Seguimentos
/
Coreia (Geográfico)
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
Neurointervention
Ano de publicação:
2010
Tipo de documento:
Artigo
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