신경근 조영 증강 유무에 따른 경추간공 경막외 스테로이드 주사의 효과

Title
신경근 조영 증강 유무에 따른 경추간공 경막외 스테로이드 주사의 효과
Other Titles
Efficacy of Transforaminal Epidural Steroid Injections According to Nerve Root Enhancement
Author(s)
안상호도성진조윤우심대섭조희경김한선장성호
Keywords
Transforaminal epidural steroid injections; Nerve root enhancement; Lumbar disc herniations; Radicular pain
Issue Date
201004
Publisher
대한재활의학회
Citation
Annals of Rehabilitation Medicine, v.34, no.2, pp.204 - 208
Abstract
Objective: To determine the efficacy of transforaminal epidural steroid injections according to nerve root enhancement in lumbar disc herniations. Method: Twenty seven patients who had extruded or seques tered lumbar disc herniations on enhanced MR imaging were investigated: fifteen patients with corresponding nerve root enhancement (enhanced group), and twelve patients without enhancement (non-enhanced group). All patients received transforaminal epidural steroid injection. Clinical outcomes were measured by visual analogue scale (VAS) for back and radicular pain, Oswestry disability index (ODI) before treatment and one month after injection. Results: The averages of VAS for lower extremity and back pain in both groups one month after injection significantly reduced compared to that of pretreatment, respectively (p<0.001). The amount of decrease in pain in enhanced group was larger than that of non-enhanced group (p<0.05). The averages of ODI in both group one month after injection significantly reduced compared to that of pretreatment (p<0.0001), however, there was no difference between the two groups. Conclusion: The nerve root enhancement on contrast-enhanced MR imaging indicates the presence of severe inflammatory reaction of nerve root, which means well-responsiveness to anti-inflammatory treatment such as transforaminal epidural steroid injection, even if patients’ symptom is very severe. (J Korean Acad Rehab Med 2010; 34: 204-208)
URI
http://hdl.handle.net/YU.REPOSITORY/22585
ISSN
2234-0645
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의과대학 > 재활의학교실 > Articles
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