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Randomized Controlled Study of Percutaneous Epidural Neuroplasty Using Racz Catheter and Epidural Steroid Injection in Cervical Disc Disease
DC Field | Value | Language |
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dc.contributor.author | 김긍년 | - |
dc.contributor.author | 신동아 | - |
dc.contributor.author | 하윤 | - |
dc.date.accessioned | 2017-02-24T08:09:12Z | - |
dc.date.available | 2017-02-24T08:09:12Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 1533-3159 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/146566 | - |
dc.description.abstract | BACKGROUND: The efficacy of lumbar percutaneous epidural neuroplasty (PEN) as a minimally invasive technique has been relatively well investigated, but the clinical effectiveness of cervical PEN (C-PEN) has yet to be established. OBJECTIVE: The purpose of this study was to compare clinical outcomes between C-PEN and cervical epidural steroid injection (C-ESI). STUDY DESIGN: Randomized control study. SETTING: University hospital center. METHODS: Eighty patients with neck pain from single level cervical disease with and without radiculopathy were included in this study. Patients were randomly assigned into 2 groups: C-PEN or C-ESI. Clinical outcomes were assessed according to Neck Disability Index (NDI) score and Visual Analog Scale (VAS) score for arm pain until 12 months after treatment. RESULTS: All C-PEN and C-ESI groups showed better NDI recovery and greater reduction in VAS score at postoperative 6 months (P < 0.001). The C-PEN group demonstrated better NDI score at postoperative 6 months than the C-ESI group (P = 0.014), while there were no differences at 2, 4, and 12 months. Additionally, the C-PEN group showed lower VAS scores at all follow-up intervals compared to the C-ESI group (P < 0.050). Symptom relief was sustained for a significantly longer duration in the C-PEN group than in the C-ESI group (23.4 vs. 20.5 weeks, P < 0.001). LIMITATIONS: The follow-up period was relatively short with a small sample size, and the grade of cervical disc disease, root compression, and disc degeneration grade were could not considered in this study. CONCLUSIONS: C-PEN was superior to C-ESI in terms of better NDI recovery (at 6 months) and greater reduction in VAS score (until 12 months) in treating single level cervical disc herniation. Better outcomes with C-PEN may have been achieved via a more localized selective block in the epidural space closer to the dorsal root ganglion and ventral aspect of the nerve root. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 39~48 | - |
dc.language | English | - |
dc.publisher | American Society of Interventional Pain Physicians | - |
dc.relation.isPartOf | PAIN PHYSICIAN | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Analgesia, Epidural/methods* | - |
dc.subject.MESH | Catheter Ablation/methods* | - |
dc.subject.MESH | Cervical Vertebrae/diagnostic imaging | - |
dc.subject.MESH | Cervical Vertebrae/surgery | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Injections, Spinal | - |
dc.subject.MESH | Intervertebral Disc Degeneration/diagnostic imaging | - |
dc.subject.MESH | Intervertebral Disc Degeneration/drug therapy* | - |
dc.subject.MESH | Intervertebral Disc Degeneration/surgery* | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Minimally Invasive Surgical Procedures/methods* | - |
dc.subject.MESH | Neck Pain/diagnostic imaging | - |
dc.subject.MESH | Neck Pain/drug therapy | - |
dc.subject.MESH | Neck Pain/surgery | - |
dc.subject.MESH | Pain Measurement/methods | - |
dc.subject.MESH | Radiculopathy/diagnostic imaging | - |
dc.subject.MESH | Radiculopathy/drug therapy | - |
dc.subject.MESH | Radiculopathy/surgery | - |
dc.subject.MESH | Radiography | - |
dc.subject.MESH | Single-Blind Method | - |
dc.subject.MESH | Steroids/administration & dosage* | - |
dc.subject.MESH | Treatment Outcome | - |
dc.title | Randomized Controlled Study of Percutaneous Epidural Neuroplasty Using Racz Catheter and Epidural Steroid Injection in Cervical Disc Disease | - |
dc.type | Article | - |
dc.publisher.location | United States | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Neurosurgery | - |
dc.contributor.googleauthor | Guy Yeul Ji | - |
dc.contributor.googleauthor | Chang Hyun Oh | - |
dc.contributor.googleauthor | Keun Su Won | - |
dc.contributor.googleauthor | In Bo Han | - |
dc.contributor.googleauthor | Yoon Ha | - |
dc.contributor.googleauthor | Dong Ah Shin | - |
dc.contributor.googleauthor | Keung Nyun Kim | - |
dc.contributor.localId | A00331 | - |
dc.contributor.localId | A02092 | - |
dc.contributor.localId | A04255 | - |
dc.relation.journalcode | J02460 | - |
dc.identifier.eissn | 2150-1149 | - |
dc.identifier.pmid | 26815248 | - |
dc.subject.keyword | Cervical | - |
dc.subject.keyword | cervical disc disease | - |
dc.subject.keyword | pain management | - |
dc.subject.keyword | percutaneous epidural neuroplasty | - |
dc.subject.keyword | percutaneous adhesiolysis | - |
dc.subject.keyword | epidural steroid injection | - |
dc.contributor.alternativeName | Kim, Keung Nyun | - |
dc.contributor.alternativeName | Shin, Dong A | - |
dc.contributor.alternativeName | Ha, Yoon | - |
dc.contributor.affiliatedAuthor | Kim, Keung Nyun | - |
dc.contributor.affiliatedAuthor | Shin, Dong A | - |
dc.contributor.affiliatedAuthor | Ha, Yoon | - |
dc.citation.volume | 19 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 39 | - |
dc.citation.endPage | 48 | - |
dc.identifier.bibliographicCitation | PAIN PHYSICIAN, Vol.19(2) : 39-48, 2016 | - |
dc.date.modified | 2017-02-24 | - |
dc.identifier.rimsid | 46375 | - |
dc.type.rims | ART | - |
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