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      KCI등재 SCOPUS

      The Effect and Safety of Steroid Injection in Lumbar Spinal Stenosis: With or Without Local Anesthetics

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      https://www.riss.kr/link?id=A103360044

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      다국어 초록 (Multilingual Abstract)

      Objective To compare the long-term effect and safety of an epidural steroid injection in spinal stenosis patients, with or without local anesthetics.Methods Twenty-nine patients diagnosed with spinal stenosis were included and randomly divided into ...

      Objective To compare the long-term effect and safety of an epidural steroid injection in spinal stenosis patients, with or without local anesthetics.Methods Twenty-nine patients diagnosed with spinal stenosis were included and randomly divided into two groups. Translaminar epidural and selective nerve root spinal injection procedures were performed using steroids mixed with local anesthetics or normal saline. The effects of spinal injection procedures were measured with visual analogue scale (VAS) and functional rate index (FRI). These measurements were performed before injection, at 1 month after injection and at 3 months after injection. The occurrence of side effects was investigated each time.Results The VAS and FRI scores were significantly reduced in both the local anesthetics group and normal saline group at 1 and 3 months after the injection. However, there was no significant difference in VAS and FRI score reduction between the two groups each time. Side effects are not noted in both groups.Conclusion The spinal injection procedures using steroids mixed either with local anesthetics or normal saline have an effect in reducing pain and improving functional activities. However, there was no significant difference between the two groups in relation to side effects and the long-term effects of pain and function.

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      참고문헌 (Reference)

      1 류기형, "척추관 협착증에서 경막 외 주사와 선택적 신경근 주사의 병행 시 효과 비교" 대한재활의학회 31 (31): 7-13, 2007

      2 Manchikanti L, "Transforaminal epidural injections in chronic lumbar disc herniation: a randomized, double-blind, active-control trial" 17 : E489-E501, 2014

      3 Storm SA, "The clinical use of dermatomal somatosensory evoked potentials in lumbosacral spinal stenosis" 15 : 107-115, 2004

      4 Cirak B, "Surgical therapy for lumbar spinal stenosis: evaluation of 300 cases" 24 : 80-82, 2001

      5 Chaplan SR, "Prolonged alleviation of tactile allodynia by intravenous lidocaine in neuropathic rats" 83 : 775-785, 1995

      6 Manchikanti L, "Preliminary results of a randomized, double-blind, controlled trial of fluoroscopic lumbar interlaminar epidural injections in managing chronic lumbar discogenic pain without disc herniation or radiculitis" 13 : E279-E292, 2010

      7 Deyo RA, "Morbidity and mortality in association with operations on the lumbar spine: the influence of age, diagnosis, and procedure" 74 : 536-543, 1992

      8 Persaud N, "Micromolar lidocaine selectively blocks propagating ectopic impulses at a distance from their site of origin" 99 : 333-340, 2002

      9 Howe JF, "Mechanosensitivity of dorsal root ganglia and chronically injured axons: a physiological basis for the radicular pain of nerve root compression" 3 : 25-41, 1977

      10 Hawker GA, "Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), Mc-Gill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP)" 63 (63): S240-S252, 2011

      1 류기형, "척추관 협착증에서 경막 외 주사와 선택적 신경근 주사의 병행 시 효과 비교" 대한재활의학회 31 (31): 7-13, 2007

      2 Manchikanti L, "Transforaminal epidural injections in chronic lumbar disc herniation: a randomized, double-blind, active-control trial" 17 : E489-E501, 2014

      3 Storm SA, "The clinical use of dermatomal somatosensory evoked potentials in lumbosacral spinal stenosis" 15 : 107-115, 2004

      4 Cirak B, "Surgical therapy for lumbar spinal stenosis: evaluation of 300 cases" 24 : 80-82, 2001

      5 Chaplan SR, "Prolonged alleviation of tactile allodynia by intravenous lidocaine in neuropathic rats" 83 : 775-785, 1995

      6 Manchikanti L, "Preliminary results of a randomized, double-blind, controlled trial of fluoroscopic lumbar interlaminar epidural injections in managing chronic lumbar discogenic pain without disc herniation or radiculitis" 13 : E279-E292, 2010

      7 Deyo RA, "Morbidity and mortality in association with operations on the lumbar spine: the influence of age, diagnosis, and procedure" 74 : 536-543, 1992

      8 Persaud N, "Micromolar lidocaine selectively blocks propagating ectopic impulses at a distance from their site of origin" 99 : 333-340, 2002

      9 Howe JF, "Mechanosensitivity of dorsal root ganglia and chronically injured axons: a physiological basis for the radicular pain of nerve root compression" 3 : 25-41, 1977

      10 Hawker GA, "Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), Mc-Gill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP)" 63 (63): S240-S252, 2011

      11 Ericksen S., "Lumbar spinal stenosis: imaging and non-operative management" 25 : 234-245, 2013

      12 Fritz JM, "Lumbar spinal stenosis: a review of current concepts in evaluation, management, and outcome measurements" 79 : 700-708, 1998

      13 Grotle M, "Functional status and disability questionnaires: what do they assess? A systematic review of back-specific outcome questionnaires" 30 : 130-140, 2005

      14 Feise RJ, "Functional rating index:a new valid and reliable instrument to measure the magnitude of clinical change in spinal conditions" 26 : 78-87, 2001

      15 McLain RF, "Epidural steroid therapy for back and leg pain: mechanisms of action and efficacy" 5 : 191-201, 2005

      16 Benedetti EM, "Epidural steroid injections: complications and management" 13 : 236-250, 2009

      17 Cosgrove JL, "Epidural steroid injections in the treatment of lumbar spinal stenosis efficacy and predictability of successful response" 90 : 1050-1055, 2011

      18 Zileli B, "Diagnostic value of electrical stimulation of lumbosacral roots in lumbar spinal stenosis" 105 : 221-227, 2002

      19 Snowden ML, "Dermatomal somatosensory evoked potentials in the diagnosis of lumbosacral spinal stenosis: comparison with imaging studies" 15 : 1036-1044, 1992

      20 Kalff R, "Degenerative lumbar spinal stenosis in older people:current treatment options" 110 : 613-623, 2013

      21 Botwin KP, "Complications of fluoroscopically guided transforaminal lumbar epidural injections" 81 : 1045-1050, 2000

      22 Chansirinukor W, "Comparison of the functional rating index and the 18-item Roland-Morris Disability Questionnaire: responsiveness and reliability" 30 : 141-145, 2005

      23 Mert T, "Comparative effects of lidocaine and tramadol on injured peripheral nerves" 543 : 54-62, 2006

      24 Manchikanti L, "A randomized, double-blind controlled trial of lumbar interlaminar epidural injections in central spinal stenosis: 2-year follow-up" 18 : 79-92, 2015

      25 Bush K, "A controlled study of caudal epidural injections of triamcinolone plus procaine for the management of intractable sciatica" 16 : 572-575, 1991

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      학술지 인용정보
      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 0.19 0.19 0.17
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.19 0.19 0.397 0.01
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