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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, Joon Woo | - |
dc.contributor.author | Kim, Sung Hyun | - |
dc.contributor.author | Choi, Ja-Young | - |
dc.contributor.author | Yeom, Jin-Sup | - |
dc.contributor.author | Kim, Ki-Jeong | - |
dc.contributor.author | Chung, Sang-Ki | - |
dc.contributor.author | Kim, Hyun-Jib | - |
dc.contributor.author | Kim, Choonghyo | - |
dc.contributor.author | Kwack, Kyu Sung | - |
dc.contributor.author | Kwon, Jong Won | - |
dc.contributor.author | Kang, Heung Sik | - |
dc.contributor.author | Moon, Sung Gyu | - |
dc.contributor.author | Jun, Woo Sun | - |
dc.date.accessioned | 2009-10-27T22:30:54Z | - |
dc.date.available | 2009-10-27T22:30:54Z | - |
dc.date.issued | 2006 | - |
dc.identifier.citation | Korean J Radiol 2006;7:139-144 | en |
dc.identifier.issn | 0361-803X (Print) | - |
dc.identifier.issn | 1546-3141 (Electronic) | - |
dc.identifier.uri | https://hdl.handle.net/10371/10834 | - |
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. | en |
dc.language.iso | en | en |
dc.publisher | The Korean Radiological Society | en |
dc.subject | Spine, interventional procedure | en |
dc.subject | Spine, therapeutic radiology | en |
dc.title | Transforaminal epidural steroid injection for lumbosacral radiculopathy: preganglionic versus conventional approach | en |
dc.type | Article | en |
dc.contributor.AlternativeAuthor | 이준우 | - |
dc.contributor.AlternativeAuthor | 김승협 | - |
dc.contributor.AlternativeAuthor | 최자영 | - |
dc.contributor.AlternativeAuthor | 염진섭 | - |
dc.contributor.AlternativeAuthor | 김기정 | - |
dc.contributor.AlternativeAuthor | 정상기 | - |
dc.contributor.AlternativeAuthor | 김현집 | - |
dc.contributor.AlternativeAuthor | 김충효 | - |
dc.contributor.AlternativeAuthor | 곽규성 | - |
dc.contributor.AlternativeAuthor | 권종원 | - |
dc.contributor.AlternativeAuthor | 강흥식 | - |
dc.contributor.AlternativeAuthor | 문성규 | - |
dc.contributor.AlternativeAuthor | 전우선 | - |
dc.identifier.doi | 10.3348/kjr.2006.7.2.139 | - |
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