The Efficacy of Spinal Epiduroscopy in Patients with Low Back Pain.

, Chon, Joong son; , Kim, Seong won; , Choi, Hyun jin; , Lee, Sang jin; , Kim, Hyung joon; , Kim, Se hyun

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2003;27(5):740-746.

Chon, Joong son , Kim, Seong won , Choi, Hyun jin , Lee, Sang jin , Kim, Hyung joon , Kim, Se hyun

¹Department of Rehabilitation Medicine, Bundang CHA General Hospital, College of Medicine, Pochon CHA University, Korea. hjin2275@hanmail.net
²Department of Preventive Medicine, Bundang CHA General Hospital, College of Medicine, Pochon CHA University, Korea.
³Hansarang Aasan General Hospital, Korea.
⁴Yonsei Rehabilitation Clinic, Korea.
⁵Public Health Center of Seosan City, Korea.

요통 환자들에서 경막외강 내시경술의 효과

전중선², 김성원³, 최현진⁴, 이상진, 김형준, 김세현¹

포천중문 의과대학 재활의학교실, ¹예방의학교실, ²한사랑아산병원, ³연세재활의학

Abstract

Objective
Spinal epiduroscopy has been introduced. Thus, we herein present low back pain patients with variable duration of herniated intervertebral disc (HIVD), spinal stenosis and failed back surgery syndrome to determine and analyze the result of spinal epiduroscopy.

Method
Fifty low back pain patients who enrolled in Bundang CHA rehabilitation center from April 2000 to November 2001 with variable duration of HIVD, spinal stenosis and failed back surgery syndrome were treated with spinal epiduroscopy. The patients were grouped according to the duration and the disease. The efficacy of treatment was assessed with visual analog scale (VAS), Oswestry low back pain (LBP) questionnaire and Pain Disability Index (PDI) before the treatment, at 1 day, 1 week, 3 months and 6 months after the treatment.

Results
VAS of all patients after spinal endoscopic epiduroplasty were significantly decreased (p＜0.05). PDI of all patients after spinal endoscopic epiduroplasty were significantly decreased (p＜0.05). Oswestry LBP questionnaire of all patients after spinal endoscopic epiduroplasty were significantly decreased (p＜0.05).

Conclusion
Spinal endoscopic epiduroplasty is one of the best treatment that can be applied to low back pain patients with variable duration of HIVD, spinal stenosis and failed back surgery syndrome.

Key Words: Low back pain, Failed back surgery syndrome, Epiduroscopy