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Evaluation of Sagittal Spinopelvic Alignment on Analgesic Efficacy of Lumbar Epidural Steroid Injection in Geriatric Patients
DC Field | Value | Language |
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dc.contributor.author | 김희정 | - |
dc.contributor.author | 노미리비 | - |
dc.contributor.author | 반민지 | - |
dc.contributor.author | 김신형 | - |
dc.date.accessioned | 2022-12-22T04:28:26Z | - |
dc.date.available | 2022-12-22T04:28:26Z | - |
dc.date.issued | 2022-10 | - |
dc.identifier.issn | 1010-660X | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/192138 | - |
dc.description.abstract | Background and Objectives: The aim of this study was to evaluate the impact of sagittal imbalance based on pelvic incidence-lumbar lordosis (PI-LL) mismatch on the analgesic efficacy of epidural steroid injection in geriatric patients. Materials and Methods: Patients aged 65 years or older who received lumbar epidural steroid injections under fluoroscopy were enrolled. The cutoff of PI-LL mismatch >20° was used as an indicator of a marked sagittal imbalance. The cross-sectional area of the psoas and paraspinal muscles, as well as the paraspinal fat infiltration grade were measured. A 50% or more decrease in pain score at four weeks after injection was considered as good analgesia. Variables were compared between PI-LL ≤ 20° and >20° groups and multivariate analysis was used to identify factors related to pain relief after injection. Results: A total of 237 patients consisting of 150 and 87 patients in the PI-LL ≤ 20° and >20° groups, respectively, were finally analyzed. Female patients, patients with lumbar surgery history, and the smaller cross-sectional area of the psoas muscles were predominantly observed in patients with sagittal imbalance. There was no difference in analgesic outcome after injection according to the PI-LL mismatch (good analgesia 60.0 vs. 60.9%, p = 0.889). Multivariate analysis showed that pre-injection opioid use, moderate to severe foraminal stenosis, and high-graded paraspinal fat infiltration were significantly associated with poor analgesia after injection. Conclusions: There was no significant correlation between sagittal spinopelvic alignment and pain relief after lumbar epidural steroid injection for geriatric patients. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | MDPI | - |
dc.relation.isPartOf | MEDICINA-LITHUANIA | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Analgesics, Opioid | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Lordosis* / surgery | - |
dc.subject.MESH | Lumbar Vertebrae* / surgery | - |
dc.subject.MESH | Pain | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Steroids / therapeutic use | - |
dc.title | Evaluation of Sagittal Spinopelvic Alignment on Analgesic Efficacy of Lumbar Epidural Steroid Injection in Geriatric Patients | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) | - |
dc.contributor.googleauthor | Hee Jung Kim | - |
dc.contributor.googleauthor | Min Gi Ban | - |
dc.contributor.googleauthor | Miribi Rho | - |
dc.contributor.googleauthor | Woohyuk Jeon | - |
dc.contributor.googleauthor | Shin Hyung Kim | - |
dc.identifier.doi | 10.3390/ medicina58101383 | - |
dc.contributor.localId | A06251 | - |
dc.contributor.localId | A05327 | - |
dc.contributor.localId | A04577 | - |
dc.contributor.localId | A00676 | - |
dc.relation.journalcode | J03886 | - |
dc.identifier.eissn | 1648-9144 | - |
dc.identifier.pmid | 36295544 | - |
dc.subject.keyword | epidural steroid injection | - |
dc.subject.keyword | geriatric patients | - |
dc.subject.keyword | muscle degeneration | - |
dc.subject.keyword | pain management | - |
dc.subject.keyword | paraspinal muscles | - |
dc.subject.keyword | spinopelvic alignment | - |
dc.contributor.alternativeName | Kim, Heejung | - |
dc.contributor.affiliatedAuthor | 김희정 | - |
dc.contributor.affiliatedAuthor | 노미리비 | - |
dc.contributor.affiliatedAuthor | 반민지 | - |
dc.contributor.affiliatedAuthor | 김신형 | - |
dc.citation.volume | 58 | - |
dc.citation.number | 10 | - |
dc.citation.startPage | 1383 | - |
dc.identifier.bibliographicCitation | MEDICINA-LITHUANIA, Vol.58(10) : 1383, 2022-10 | - |
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