척추용해증 환자에서 Pars Interarticularis Injections의 치료 경험 - 증례 보고 -
Pars Interarticularis Injections in a Patient with Spondylolysis - A case report -
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Abstract
Spondylolysis, also known as stress injury of pars interarticularis, is a common cause of back pain in athletes, particularly children and young adults. Repeated minor traumas during flexion and extension of the spine are thought to result in bony failure due to excessive bone resorption. These lesions are common in the low back, with the majority found at the L5 vertebra. In the majority of cases of spondylolysis, non-operative treatments are recommended, such as NSAIDs, physiotherapy and bracing. Only if symptoms do not respond to conservative treatments should surgical intervention be considered. Recently, pars interarticularis injections for diagnostic and therapeutic purposes have been found to allow significant pain relief from spondylolysis for long periods. Here, the case of a 57-year-old man with spondylolysis, who suffered from back pain, which was not relieved by an epidural steroid injection, but in whom pars interarticularis injections of local anesthetic and steroid induced complete transient pain relief, following by moderate long-term relief, is presented.
참고문헌 (14)
- "The natural history of spondylolysis and spondylolisthesis", 66, pp.699~707 (1984)
- "Direct repair of lumbar spondylolysis.10-year follow-up of 12 previously reported cases", 65, pp.91~3 (1994)
- "Repair of pars interarticularis defect.The prognostic value of pars infiltration", 16, pp.~8 (1991)
- "Operative repair of symptomatic spondylolysis following a positive response to diagnostic pars injection", 12, pp.10~6 (1999)
- "Spondylolysis:a critical review", 34, pp.415~22 (2000)
- "The strength of the neural arch and the etilogy of spondylolysis", 6, pp.215~31 (1975)
- "The etiology of spondylolisthesis", 44, pp.539~60 (1962)
- "The lateral buttress:an anatomic feature of the lumbar pars interarticularis", 27, pp.385~7 (2002)
- "The effect of the common anomalies of the lumbar spine upon disk degeneration and low back pain", 2, pp.569~82 (1971)
- "Current evaluation and management of spondylolysis and spondylolisthesis", 2, pp.41~6 (2003)
- "Spondylarthrography:the demonstration of spondylolysis by apophyseal joint arthrography", 36, pp.427~30 (1985)
- "Image study of the lumbar spine", 8, pp.298~304 (2001)
- "The pars defect as a pain source.A histologic study", 20, pp.1761~4 (1995)
- "Innervation of the spondylolysis", pp.912~6