Publications
Detailed Information
Percutaneous epidural adhesiolysis using inflatable balloon catheter and balloon-less catheter in central lumbar spinal stenosis with neurogenic claudication: A randomized controlled trial
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Karm, Myong-Hwan | - |
dc.contributor.author | Choi, Seong-Soo | - |
dc.contributor.author | Kim, Doo-Hwan | - |
dc.contributor.author | Park, Jun-Young | - |
dc.contributor.author | Lee, Sukyung | - |
dc.contributor.author | Park, Jin Kyu | - |
dc.contributor.author | Suh, Young Joong | - |
dc.contributor.author | Leem, Jeong-Gil | - |
dc.contributor.author | Shin, Jin Woo | - |
dc.date.accessioned | 2024-05-02T06:01:44Z | - |
dc.date.available | 2024-05-02T06:01:44Z | - |
dc.date.created | 2019-07-10 | - |
dc.date.created | 2019-07-10 | - |
dc.date.issued | 2018-11 | - |
dc.identifier.citation | Pain Physician, Vol.21 No.6, pp.593-605 | - |
dc.identifier.issn | 1533-3159 | - |
dc.identifier.uri | https://hdl.handle.net/10371/200544 | - |
dc.description.abstract | Background: When conventional interventional procedures fail, percutaneous epidural adhesiolysis (PEA), which has moderate evidence for successful treatment of lumbar spinal stenosis (LSS), has been recommended over surgical treatments. In a previous study, we demonstrated the efficacy of a newly developed inflatable balloon catheter for overcoming the access limitations of pre-existing catheters for patients with severe stenosis or adhesions. Objectives: This study compared the treatment response of combined PEA with balloon decompression and PEA only in patients with central LSS over 6 months of follow-up. Study Design: This study used a randomized, single-blinded, active-controlled trial design. Setting: This study took place in a single-center, academic, outpatient interventional pain management clinic. Methods: This randomized controlled study included 60 patients with refractory central LSS who suffered from chronic lower back pain and/or lumbar radicular pain. Patients failed to maintain improvement for > 1 month with epidural steroid injection or PEA using a balloon-less catheter. Patients were randomly assigned to one of 2 interventions: balloon-less (n = 30) and inflatable balloon catheter (n = 30). The Numeric Rating Scale (NRS-11), Oswestry Disability Index (ODI), Global Perceived Effect of Satisfaction (GPES), and Medication Quantification Scale III were each measured at 1, 3, and 6 months after PEA. Results: There was a significant difference between groups in NRS-11 reduction = 50% (or 4 points), ODI reduction = 30% (or 10 points), GPES = 6 and = 4 points at 6 months, and NRS-11 reduction = 50% (or 4 points) at 3 months after PEA (P < .03). The proportion of successful responders was higher in the balloon group than in the balloon-less group throughout the total follow-up period. Furthermore, there was a statistically significant difference between groups at 6 months after PEA (P = .035). Limitations: The results may vary according to the definition of successful response. Follow-up loss in the present study seemed to be high. Conclusion: PEA using the inflatable balloon catheter leads to significant pain reduction and functional improvement compared to PEA using the balloon-less catheter in patients with central LSS. | - |
dc.language | 영어 | - |
dc.publisher | American Society of Interventional Pain Physicians | - |
dc.title | Percutaneous epidural adhesiolysis using inflatable balloon catheter and balloon-less catheter in central lumbar spinal stenosis with neurogenic claudication: A randomized controlled trial | - |
dc.type | Article | - |
dc.citation.journaltitle | Pain Physician | - |
dc.identifier.wosid | 000451640600016 | - |
dc.identifier.scopusid | 2-s2.0-85060040079 | - |
dc.citation.endpage | 605 | - |
dc.citation.number | 6 | - |
dc.citation.startpage | 593 | - |
dc.citation.volume | 21 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Karm, Myong-Hwan | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.subject.keywordPlus | LOW-BACK-PAIN | - |
dc.subject.keywordPlus | LUMBOSACRAL RADICULAR PAIN | - |
dc.subject.keywordPlus | LOWER-EXTREMITY PAIN | - |
dc.subject.keywordPlus | DOUBLE-BLIND | - |
dc.subject.keywordPlus | CLINICAL EFFECTIVENESS | - |
dc.subject.keywordPlus | PULSED RADIOFREQUENCY | - |
dc.subject.keywordPlus | STEROID INJECTIONS | - |
dc.subject.keywordPlus | SURGERY SYNDROME | - |
dc.subject.keywordPlus | NERVE ROOT | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordAuthor | Balloon decompression | - |
dc.subject.keywordAuthor | central | - |
dc.subject.keywordAuthor | chronic pain | - |
dc.subject.keywordAuthor | epidural adhesiolysis | - |
dc.subject.keywordAuthor | lumbar | - |
dc.subject.keywordAuthor | percutaneous | - |
dc.subject.keywordAuthor | radiculopathy | - |
dc.subject.keywordAuthor | spinal stenosis | - |
- Appears in Collections:
- Files in This Item:
- There are no files associated with this item.
Item View & Download Count
Items in S-Space are protected by copyright, with all rights reserved, unless otherwise indicated.