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Kambin triangle versus the supraneural approach for the treatment of lumbar radicular pain

Title
 Kambin triangle versus the supraneural approach for the treatment of lumbar radicular pain 
Authors
 Ki Deok Park ; Jiwon Lee ; Yongbum Park ; Heami Jee 
Issue Date
2012
Journal Title
 American Journal of Physical Medicine & Rehabilitation 
ISSN
 0894-9115 
Citation
 American Journal of Physical Medicine & Rehabilitation, Vol.91(12) : 1039~1050, 2012 
Abstract
OBJECTIVE: The aim of this study was to conduct a randomized, blinded, prospective outcome study on the short-term benefits of the Kambin triangle vs. the supraneural approach for the treatment of lumbar radicular pain. DESIGN: Subjects with lumbar radicular pain (n = 100) were randomly assigned to undergo transforaminal epidural steroid injection using either the Kambin triangle approach or the supraneural approach. Primary outcomes were measured with a verbal numeric pain scale and the Oswestry Disability Index, and the results at 2 and 12 wks after the procedure were compared between the groups. Secondary outcomes included patient satisfaction and the incidence of complications during the transforaminal epidural steroid injection procedure. RESULTS: For both groups, the verbal numeric pain scale and Oswestry Disability Index scores improved 2 wks after the injections, and this improvement was maintained through the 12-wk follow-up. The verbal numeric pain scale, Oswestry Disability Index, and effectiveness scores were not significantly different between groups. Neural contact occurred in nine cases with the supraneural approach; no patients experienced neural contact with the Kambin triangle approach. CONCLUSIONS: The Kambin triangle approach can be used instead of the supraneural approach in cases where it is difficult to place the needle at the anterior epidural space.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/89438
DOI
10.1097/PHM.0b013e318264573a
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Family Medicine
Yonsei Authors
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Link
 http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00002060-201212000-00004&LSLINK=80&D=ovft
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