요부 추간판탈출증에 의한 신경근증의 치료로 C-arm영상증강장치하 경추궁간경막외차단과 경추간공경막외차단의 효과 비교
Comparison of the Effects between Interlaminar Epidural Block and Transforaminal Epidural Block under C-arm Guide in Lumbar Disc Herniated Radiculopathy
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Abstract
Background: Interlaminar and transforaminal epidural blocks are effective in treating disc-herniated radiculopathy. In some studies, transforaminal epidural block was more effective than interlaminar epidural block. The aim of this study was to compare interlaminar epidural block with that of transforaminal epidural block in treating disc-herniated radiculopathy. Methods: Eighty patients, who complained of disc-herniated radiculopathy, were randomly divided into two groups. One group was administered interlaminar (n = 40), the other transforaminal (n = 40) epidural block. All the procedures were performed under C-arm guidance. A numerical rating scale (NRS) and patient satisfaction scores were recorded before and 30 days after the procedure. Results: Reduced NRS and high patient satisfaction scores were noted in both groups, but no difference was noted between the two groups. Conclusions: Both interlaminar and transforaminal epidural blocks were effective in treating disc-herniated radiculopathy, but no difference in effect between the two procedures under C-arm guidance was noted.
참고문헌 (12)
- "Outcome assessment after epidural corticosteroid injection for low back pain and sciatica", 18, pp.1345~50 (1993)
- "Efficacy of transforaminal versus interspinous corticosteroid injection in discal radiculalgia - a prospective ,randomised,double-blind study", 22, pp.299~304 (2003)
- "Nerve root infiltration in the diagnosis of radicular pain", 13, pp.79~83 (1988)
- "Fluoroscopic transforaminal lumbar epidural steroids:an outcome study: an outcome study", 79, pp.1362~1366 (1998)
- "Therapeutic spinal corticosteroid injections for the management of radiculopathies", 13, pp.697~711 (2002)
- "Transforaminal epidural steroid injections in lumbosacral radiculopathy:a prospective randomized study", 27, pp.11~16 (2002)
- "Lumbar epidural perineural injection:a new technique", 6, pp.357~361 (1997)
- "Correct placement of epidural steroid injections:fluoroscopic guidance and contrast administration", 12, pp.1003~7 (1991)
- "Efficacy of nerve root versus interspinous injections of glucocorticoids in the treatment of disk-related sciatica A pilot prospective, randomized, double-blind study", 67, pp.113~118 (2000)
- "Epidural corticosteroid injections for sciatica due to herniated nucleus pulposus", 336, pp.1634~1640 (1997)
- "Periradicular infiltration for sciatica", 26, pp.1059~1067 (2001)
- "Epidural corticosteroid injections for sciatica: a randomised, double blind, controlled clinical trial.", 62, pp.639~643 (2003)