دورية أكاديمية
أعرض في EDS

Comparison of the efficacy of transforaminal and interlaminar radicular block techniques for treating lumbar disk hernia.

التفاصيل البيبلوغرافية
العنوان: Comparison of the efficacy of transforaminal and interlaminar radicular block techniques for treating lumbar disk hernia.
المؤلفون: Rezende R; Hospital da Santa Casa de Misericórdia, Vitória, ES, Brazil., Jacob Júnior C; Hospital da Santa Casa de Misericórdia, Vitória, ES, Brazil., da Silva CK; Hospital da Santa Casa de Misericórdia, Vitória, ES, Brazil., de Barcellos Zanon I; Hospital da Santa Casa de Misericórdia, Vitória, ES, Brazil., Cardoso IM; Hospital da Santa Casa de Misericórdia, Vitória, ES, Brazil., Batista Júnior JL; Hospital da Santa Casa de Misericórdia, Vitória, ES, Brazil.
المصدر: Revista brasileira de ortopedia [Rev Bras Ortop] 2015 Mar 10; Vol. 50 (2), pp. 220-5. Date of Electronic Publication: 2015 Mar 10 (Print Publication: 2015).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Ltda Country of Publication: Brazil NLM ID: 101660959 Publication Model: eCollection Cited Medium: Print ISSN: 2255-4971 (Print) Linking ISSN: 22554971 NLM ISO Abbreviation: Rev Bras Ortop Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Rio de Janeiro : Elsevier Ltda, [2009]-[2018]
مستخلص: Objective: To compare the interlaminar and transforaminal block techniques with regard to the state of pain and presence or absence of complications.
Method: This was a randomized double-blind prospective study of descriptive and comparative nature, on 40 patients of both sexes who presented lumbar sciatic pain due to central-lateral or foraminal disk hernias. The patients had failed to respond to 20 physiotherapy sessions, but did not present instability, as diagnosed in dynamic radiographic examinations. The type of block to be used was determined by means of a draw: transforaminal (group 1; 20 patients) or interlaminar (group 2; 20 patients).
Results: Forty patients were evaluated (17 males), with a mean age of 49 years. There was a significant improvement in the state of pain in all patients who underwent radicular block using both techniques, although the transforaminal technique presented better results than the interlaminar technique.
Conclusion: Both techniques were effective for pain relief and presented low complication rates, but the transforaminal technique was more effective than the interlaminar technique.
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فهرسة مساهمة: Keywords: Intervertebral disk displacement; Lumbar pain; Nerve block
Local Abstract: [Publisher, Portuguese] Comparar a técnica de bloqueio interlaminar com a de bloqueio transforaminal, quanto ao quadro álgico e à presença ou não de complicações. [Publisher, Portuguese] Estudo prospectivo, de caráter descritivo e comparativo, duplo-cego e randomizado, em que são sujeitos 40 pacientes, de ambos os sexos, portadores de lombociatalgia por hérnia de disco, do tipo centro-lateral ou foraminal, sem resposta a 20 sessões de fisioterapia e sem instabilidade, diagnosticada em exame de radiografia dinâmica. O tipo de bloqueio, transforaminal (grupo 1) ou interlaminar (grupo 2), a ser feito foi determinado por meio de sorteio e constituiu 20 pacientes do grupo 1 e 20 do grupo 2. [Publisher, Portuguese] Foram avaliados 40 pacientes, 17 do sexo masculino, média de 49 anos, nos quais houve melhoria significativa do quadro álgico em todos os submetidos ao bloqueio radicular em ambas as técnicas, embora a técnica transforaminal apresentasse melhores resultados quando comparada com a interlaminar. [Publisher, Portuguese] Ambas as técnicas são eficazes no alívio da dor e apresentam baixa taxa de complicação, mas a transforaminal foi mais eficaz do que a interlaminar.
تواريخ الأحداث: Date Created: 20150801 Date Completed: 20150803 Latest Revision: 20200929
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC4519619
DOI: 10.1016/j.rboe.2015.02.016
PMID: 26229920
قاعدة البيانات: MEDLINE
الوصف
تدمد:2255-4971
DOI:10.1016/j.rboe.2015.02.016