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Relationship of Success Rate for Balloon Adhesiolysis with Clinical Outcomes in Chronic Intractable Lumbar Radicular Pain: A Multicenter Prospective Study

Authors
 Jun-Young Park  ;  Gyu Yeul Ji  ;  Sang Won Lee  ;  Jin Kyu Park  ;  Dongwon Ha  ;  Youngmok Park  ;  Seong-Sik Cho  ;  Sang Ho Moon  ;  Jin-Woo Shin  ;  Dong Joon Kim  ;  Dong Ah Shin  ;  Seong-Soo Choi 
Citation
 Journal of Clinical Medicine, Vol.8(5) : E606, 2019 
Journal Title
 Journal of Clinical Medicine 
Issue Date
2019
Abstract
Combined balloon decompression and epidural adhesiolysis has been reported to be effective in refractory lumbar spinal stenosis. Many cases of intractable stenosis have symptom-related multiple target sites for interventional treatment. In this situation it may not be possible to perform balloon adhesiolysis, or even only epidural adhesiolysis, for all target sites. Therefore, this multicenter prospective observational study aimed to evaluate the relationship of successful ballooning rate for multiple target sites with clinical outcome. Based on the ballooning success rate of multiple target sites, the patients were divided into three groups: below 50%, 50-85%, and above 85% ballooning. A greater ballooning success rate for multiple target sites provided a more decreased pain intensity and improved functional status in patients with chronic refractory lumbar spinal stenosis, and the improvement was maintained for 6 months. The estimated proportions of successful responders according to a multidimensional approach in the below 50%, 50-85%, and above 85% balloon success groups at 6 months after the procedure were 0.292, 0.468, and 0.507, respectively (p = 0.038). Our study suggests the more successful balloon adhesiolysis procedures for multiple target lesions are performed, the better clinical outcome can be expected at least 6 months after treatment.
Files in This Item:
T201902644.pdf Download
DOI
10.3390/jcm8050606
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Shin, Dong Ah(신동아) ORCID logo https://orcid.org/0000-0002-5225-4083
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/171040
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