| Efficacy of Translaminar Epidural Steroid Injection versus Combined Translaminar Epidural Steroid Injection with Selective Nerve Root Injection in Spinal Stenosis. |
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Nam, Ki Yeon , Ryu, Gi Hyeong , Choi, Jung Min , Choi, Jong Ho , Kwuan, Bum Sun , Park, Jin Woo |
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Department of Rehabilitation Medicine, Dongguk University College of Medicine, Korea. fargen@hanmail.net |
| 척추관 협착증에서 경막 외 주사와 선택적 신경근 주사의 병행 시 효과 비교 |
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류기형, 최정민, 최종호, 권범선, 박진우, 남기연 |
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동국대학교 의과대학 재활의학교실 |
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| Abstract |
Objective
To compare treatment effects of translaminar epidural steroid injections (TLESIs) only and selective nerve root injections (SNRIs) with TLESIs in lumbosacral spinal stenosis.
Method
Thirty-four patients diagnosed with magnetic resonance imaging (MRI), somatosensory evoked potential (SEP) and electromyography (EMG) were included. 16 patients who had somatosensory pathway dysfunction or abnormal spontaneous activity received combined SNRIs with TLESIs and 20 patients received only TLESIs. The visual analogue scale (VAS) and functional rating index (FRI) were measured before injection, 1 week and 3 months after 3 times injection.
Results
The mean values of VAS before injection, 1 week and 3 months after 3 times injection were 7.55, 3.22, 3.61 in only TLESIs and 7.37, 2.06, 2.31 in SNRIs with TLESIs. The mean values of FRI before injection, 1 week and 3 months after 3 times injection were 25.16, 16.00, 15.83 in only TLESIs and 22.50, 8.37, 8.31 in SNRIs with TLESIs. In the mean values of VAS and FRI were significantly lower SNRIs with TLESIs than only TLESIs (p＜0.05).
Conclusion
Combined SNRIs with TLESIs were more effective treatment for reduction of pain and improvement of function than only TLESIs in lumbosacral spinal stenosis. (J Korean Acad Rehab Med 2007; 31: 7-13) |
| Key Words:
Translaminar epidural steroid injections, Selective nerve root injections, Lumbosacral spinal stenosis |
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