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Transforaminal epidural steroid injection for lumbosacral radiculopathy: preganglionic versus conventional approach.
DC Field | Value | Language |
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dc.contributor.author | Lee, JW | - |
dc.contributor.author | Kim, SH | - |
dc.contributor.author | Choi, JY | - |
dc.contributor.author | Yeom, JS | - |
dc.contributor.author | Kim, KJ | - |
dc.contributor.author | Chung, SK | - |
dc.contributor.author | Kim, HJ | - |
dc.contributor.author | Kim, C | - |
dc.contributor.author | Kwack, KS | - |
dc.contributor.author | Kwon, JW | - |
dc.contributor.author | Moon, SG | - |
dc.contributor.author | Jun, WS | - |
dc.contributor.author | Kang, HS | - |
dc.date.accessioned | 2011-04-15T05:45:01Z | - |
dc.date.available | 2011-04-15T05:45:01Z | - |
dc.date.issued | 2006 | - |
dc.identifier.issn | 1229-6929 | - |
dc.identifier.uri | http://repository.ajou.ac.kr/handle/201003/2347 | - |
dc.description.abstract | OBJECTIVE: The present study was undertaken to evaluate the effectiveness of transforaminal epidural steroid injection (TFESI) with using a preganglionic approach for treating lumbar radiculopathy when the nerve root compression was located at the level of the supra-adjacent intervertebral disc.
MATERIALS AND METHODS: The medical records of the patients who received conventional TFESI at our department from June 2003 to May 2004 were retrospectively reviewed. TFESI was performed in a total of 13 cases at the level of the exiting nerve root, in which the nerve root compression was at the level of the supra-adjacent intervertebral disc (the conventional TFESI group). Since June 2004, we have performed TFESI with using a preganglionic approach at the level of the supra-adjacent intervertebral disc (for example, at the neural foramen of L4-5 for the L5 nerve root) if the nerve root compression was at the level of the supra-adjacent intervertebral disc. Using the inclusion criteria described above, 20 of these patients were also consecutively enrolled in our study (the preganglionic TFESI group). The treatment outcome was assessed using a 5-point patient satisfaction scale and by using a VAS (visual assessment scale). A successful outcome required a patient satisfaction scale score of 3 (very good) or 4 (excellent), and a reduction on the VAS score of > 50% two weeks after performing TFESI. Logistic regression analysis was also performed. RESULTS: Of the 13 patients in the conventional TFESI group, nine showed satisfactory improvement two weeks after TFESI (69.2%). However, in the preganglionic TFESI group, 18 of the 20 patients (90%) showed satisfactory improvement. The difference between the two approaches in terms of TFESI effectiveness was of borderline significance (p = 0.056; odds ratio: 10.483). CONCLUSION: We conclude that preganglionic TFESI has the better therapeutic effect on radiculopathy caused by nerve root compression at the level of the supra-adjacent disc than does conventional TFESI, and the difference between the two treatments had borderline statistical significance. | - |
dc.format | text/plain | - |
dc.language.iso | en | - |
dc.subject.MESH | Adolescent | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Anesthetics, Local | - |
dc.subject.MESH | Bupivacaine | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Fluoroscopy | - |
dc.subject.MESH | Glucocorticoids | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Injections, Epidural | - |
dc.subject.MESH | Intervertebral Disk Displacement | - |
dc.subject.MESH | Logistic Models | - |
dc.subject.MESH | Lumbosacral Region | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Pain Measurement | - |
dc.subject.MESH | Patient Satisfaction | - |
dc.subject.MESH | Radiculopathy | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Spinal Stenosis | - |
dc.subject.MESH | Triamcinolone Acetonide | - |
dc.title | Transforaminal epidural steroid injection for lumbosacral radiculopathy: preganglionic versus conventional approach. | - |
dc.type | Article | - |
dc.identifier.pmid | 16799275 | - |
dc.identifier.url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2667587/ | - |
dc.contributor.affiliatedAuthor | 곽, 규성 | - |
dc.type.local | Journal Papers | - |
dc.identifier.doi | 10.3348/kjr.2006.7.2.139 | - |
dc.citation.title | Korean journal of radiology | - |
dc.citation.volume | 7 | - |
dc.citation.number | 2 | - |
dc.citation.date | 2006 | - |
dc.citation.startPage | 139 | - |
dc.citation.endPage | 144 | - |
dc.identifier.bibliographicCitation | Korean journal of radiology, 7(2). : 139-144, 2006 | - |
dc.identifier.eissn | 2005-8330 | - |
dc.relation.journalid | J012296929 | - |
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