دورية أكاديمية
أعرض في EDS

Relationships between the Spinal Dural Pulsations and the Short-Term Efficacy of Lumbar Epidural Steroid Injection.

التفاصيل البيبلوغرافية
العنوان: Relationships between the Spinal Dural Pulsations and the Short-Term Efficacy of Lumbar Epidural Steroid Injection.
المؤلفون: Park CH; Department of Anesthesiology and Pain Medicine, Daegu Wooridul Spine Hospital, Daegu, Republic of Korea., Lee SH; Department of Neurosurgery, Chungdam Wooridul Spine Hospital, Seoul, Republic of Korea.
المصدر: Pain research & management [Pain Res Manag] 2024 Mar 18; Vol. 2024, pp. 1824269. Date of Electronic Publication: 2024 Mar 18 (Print Publication: 2024).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Hindawi Publishing Corporation Country of Publication: United States NLM ID: 9612504 Publication Model: eCollection Cited Medium: Internet ISSN: 1918-1523 (Electronic) Linking ISSN: 12036765 NLM ISO Abbreviation: Pain Res Manag Subsets: MEDLINE
أسماء مطبوعة: Publication: <2015- > : New York, NY : Hindawi Publishing Corporation
Original Publication: Oakville, Ont. : Pulsus Group, 1996-
مواضيع طبية MeSH: Spinal Stenosis*/complications , Spinal Stenosis*/drug therapy , Low Back Pain*/drug therapy , Low Back Pain*/etiology , Low Back Pain*/diagnosis , Chronic Pain*/complications, Humans ; Prospective Studies ; Back Pain ; Injections, Epidural/adverse effects ; Steroids/therapeutic use ; Treatment Outcome
مستخلص: Background: Lumbar spinal stenosis (LSS) causes low back pain, leg pain, numbness in the leg, and neurogenic intermittent claudication. Epidural steroid injection (ESI) has been used for treating spinal stenosis symptoms. We hypothesized that dural pulsation was variable for lumbar spinal stenosis. In cases of the presence of dural pulsation, the pain relief after the ESI was better than in the absence of dural pulsation. This study aimed at investigating the relationships between the presence or absence of spinal dural pulsations and the efficacy of ESI.
Methods: A total of 71 patients were enrolled in this prospective study. Prior to the ESI, the dural pulsation was measured using a 5-1 MHz array ultrasound transducer. The visual analogue scale (VAS) score was measured pre-ESI and 2 weeks post-ESI and 4 weeks post-ESI. At 4 weeks post-ESI, dural pulsation was rechecked.
Results: The VAS scores improved after the ESI procedure regardless of the presence or absence of dural pulsation. There was a correlation between the pulsation of the dura and post-ESI VAS scores. However, VAS was not significantly different for different grades of stenosis.
Conclusion: The ESI was effective in patients with spinal stenosis in short-term follow-up. Dural pulsation of the spinal cord was a positive predictive factor for the ESI effect, but the grade of spinal stenosis severity had no effect on the effectiveness of ESI.
Competing Interests: The authors declare that they have no conflicts of interest.
(Copyright © 2024 Chan Hong Park and Sang Ho Lee.)
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المشرفين على المادة: 0 (Steroids)
تواريخ الأحداث: Date Created: 20240326 Date Completed: 20240327 Latest Revision: 20240327
رمز التحديث: 20240327
مُعرف محوري في PubMed: PMC10963105
DOI: 10.1155/2024/1824269
PMID: 38528984
قاعدة البيانات: MEDLINE
الوصف
تدمد:1918-1523
DOI:10.1155/2024/1824269