척추압박골절환자에서 시행한 교통지 차단의 치료효과
Clinical Efficacy of Ramus Communicans Nerve Block in Patient with Vertebral Compression Fracture
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Abstract
Background: Vertebral compression fractures can cause severe mechanical pain in spite of conservative treatments. Although vertebroplasty is an effective treatment for vertebral compression fractures, it is not strongly indicated in some patients. This study was performed to verify the usefulness of ramus communicans nerve block in patients suffering from back pain due to a vertebral compression fracture. Methods: A randomized clinical trial was carried out in 34 patients with a vertebral compression fracture after conservative therapy had failed. Nerve blocks on the ramus communicans corresponding to vertebral compression fracture were performed once a week for 2 consecutive weeks under C-arm fluoroscopic guidance. The pain scores were evaluated before and after each nerve block using a 100 mm VAS (visual analog scale), and the side effects were also checked. Results: All patients tolerated the procedures well. The VAS pain scores were significantly lower than that at the baseline (P ＜ 0.05) after the 1st and 2nd nerve blocks, and there were no serious procedure-related complications. Conclusions: Prompt and prolonged improvement in pain was achieved, with no serious complications during or after the procedure. These results support the effectiveness and safety of ramus communicans nerve block for patients with a persistently painful vertebral compression fracture. Therefore, ramus communicans nerve block can be one of the treatment modalities for patients with back pain due to a vertebral compression fracture.
참고문헌 (23)
- "Osteoporotic vertebral compression fractures", 52, pp.541~550 (2003)
- "Current medical, rehabilitation, and surgical management of vertebral compression fractures", 12, pp.17~26 (2003)
- "Management of acute osteoporotic vertebral fractures:A nonrandomized trial comparing percutaneous vertebroplasty with conservative therapy", 114, pp.257~265 (2003)
- "Minimally invasive treatments of osteoporotic vertebral compression fractures", 28, pp.45~53 (2003)
- "Optimizing patient selection in percutaneous vertebroplasty", 14, pp.683~696 (2003)
- "Percutaneous vertebroplasty:new treatment for vertebral compression fractures", 66, pp.611~615 (2002)
- "Percutaneous polymethylmethacylate vertebroplasty in the treatment of osteoporotic vertebral body compression fractures:technical aspects", 18, pp.1897~1904 (1997)
- "Should percutaneous vertebroplasty be used to treat osteoporotic fractures? An update", pp.216~221 (2001)
- "Gray ramus communicans nerve block:novel treatment approach for painful osteoporotic vertebral compression fracture", 94, pp.387~393 (2001)
- "The natural history of vertebral osteoporosis Is low back mass an epiphenomenon", pp.~6
- "Vertebral fractures and mortality in older women", 159, pp.1215~1220 (1999)
- "Preliminary note on the treatment of vertebral angioma by percutaneous acrylic vertebroplasty", 33, pp.166~8 (1987)
- "New technologies in spine:kyphoplasty and vertebgroplasty for the treatment of painful osteoporotic compression fractures", 15, pp.1511~1515 (2001)
- "Treatment of painful osteoporotic vertebral fractures with percutaneous vertebroplasty or kyphoplasty", 12, pp.429~437 (2001)
- "Percutaneous vertebroplasty with polymethylmethacrylate.Technique, indications, and results", 36, pp.533~546 (1998)
- "Risk factors of new compression fractures in adjacent vertebrae after percutaneous vertebroplasty", 45, pp.440~445 (2004)
- "Initial outcome and efficacy of kyphoplasty in the treatment of painful osteoporotic vertebral compression fractures", 26, pp.1631~1638 (2001)
- "Vertebroplasty:clinical experience and follow-up results", 25, pp.~15 (1999)
- "Radiofrequency lesions of the communicating ramus in the treatment of low back pain Techniques of neurolysis Edited by Racz G", pp.145~59 (1989)
- "Variations in the number and position of human lumbar sympathetic ganglia and rami communicantes", 16, pp.108~113 (2003)
- "Cinical anatomy of the lumbar spine & sacrum", pp.127~143 (1997), Bath press Ltd
- "The lumbar disc and low back pain", 2, pp.791~806 (1991)
- "Radiofrequency for the treatment of chronic pain. Textbook of regional anesthesia Edited by Raj P", pp.619~645 (2002), Churchill Livingstone