Cited 9 times in
Effectiveness of and Factors Associated with Balloon Adhesiolysis in Patients with Lumbar Post-Laminectomy Syndrome: A Retrospective Study
DC Field | Value | Language |
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dc.contributor.author | 신동아 | - |
dc.date.accessioned | 2022-12-22T01:16:02Z | - |
dc.date.available | 2022-12-22T01:16:02Z | - |
dc.date.issued | 2020-04 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/191129 | - |
dc.description.abstract | Post-laminectomy syndrome (PLS) is characterized by chronic pain and complex pathological entity after back surgery. An epidural adhesiolysis is considered an effective treatment option for lumbar PLS. In this study, we retrospectively analyzed the outcome and evaluated the predictive factors of combined epidural adhesiolysis and balloon decompression using inflatable balloon catheters in lumbar PLS cases. One hundred and forty-seven subjects were retrospectively assessed and analyzed. The percentages of patients who exhibited treatment response were 32.0%, 24.5%, and 22.4% of the study population at 1, 3, and 6 months, respectively. In multivariate logistic regression analysis, the pain duration was independently associated with the treatment response six months after combined epidural adhesiolysis and balloon decompression (odds ratio = 0.985, 95% confidence interval = 0.971-0.999; p = 0.038). In addition, the receiver operating characteristic curve analysis showed that the area under the curve of pain duration after lumbar surgery was 0.680 (95% confidence interval = 0.597-0.754, p = 0.002), with an optimal cut-off value of ≤14 months, sensitivity of 51.5%, and specificity of 81.4% Our results suggest that an early intervention using combined epidural adhesiolysis and balloon decompression in lumbar PLS patients may be associated with a favorable outcome, even though it has limited effectiveness. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | MDPI AG | - |
dc.relation.isPartOf | JOURNAL OF CLINICAL MEDICINE | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Effectiveness of and Factors Associated with Balloon Adhesiolysis in Patients with Lumbar Post-Laminectomy Syndrome: A Retrospective Study | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Neurosurgery (신경외과학교실) | - |
dc.contributor.googleauthor | Yul Oh | - |
dc.contributor.googleauthor | Dong Ah Shin | - |
dc.contributor.googleauthor | Dong Joon Kim | - |
dc.contributor.googleauthor | Woojong Cho | - |
dc.contributor.googleauthor | Taejun Na | - |
dc.contributor.googleauthor | Jeong-Gil Leem | - |
dc.contributor.googleauthor | Jin-Woo Shin | - |
dc.contributor.googleauthor | Doo-Hwan Kim | - |
dc.contributor.googleauthor | Kyung-Don Hahm | - |
dc.contributor.googleauthor | Seong-Soo Choi | - |
dc.identifier.doi | 10.3390/jcm9041144 | - |
dc.contributor.localId | A02092 | - |
dc.relation.journalcode | J03556 | - |
dc.identifier.eissn | 2077-0383 | - |
dc.identifier.pmid | 32316281 | - |
dc.subject.keyword | balloon | - |
dc.subject.keyword | epidural adhesiolysis | - |
dc.subject.keyword | lumbar | - |
dc.subject.keyword | post-laminectomy syndrome | - |
dc.contributor.alternativeName | Shin, Dong A | - |
dc.contributor.affiliatedAuthor | 신동아 | - |
dc.citation.volume | 9 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 1144 | - |
dc.identifier.bibliographicCitation | JOURNAL OF CLINICAL MEDICINE, Vol.9(4) : 1144, 2020-04 | - |
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