The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Anterior Epidural Irrigation in a Lumbar Spinal Stenosis Patient

척추관 협착증 환자에서 전 경막외강 세정요법

  • Lee, Jun Seok (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu) ;
  • Kwon, Hong Tae (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu) ;
  • Park, Chan Hong (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu)
  • 이준석 (대구가톨릭대학교 의과대학 마취통증의학교실) ;
  • 권홍태 (대구가톨릭대학교 의과대학 마취통증의학교실) ;
  • 박찬홍 (대구가톨릭대학교 의과대학 마취통증의학교실)
  • Received : 2005.09.28
  • Accepted : 2006.04.05
  • Published : 2006.06.30
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Abstract

Background: Pain due to spinal stenosis is one of the major causes of low back pain, and it sometimes does not respond to conservative treatment. We postulated that anterior epidural irrigation could be a good choice for treating lumbar spinal stenosis patients. However, the effects and theoretical basis of anterior epidural irrigation have not been investigated for spinal stenosis. So, this study was designed to identify the clinical efficacy of anterior epidural irrigation for treating lumbar spinal stenosis. Methods: 71 patients with lumbar spinal stenosis underwent anterior epidural irrigation. Anterior epidural irrigation was performed with normal saline and a mixture of local anesthetic with steroid through a catheter under fluoroscopic guidance. The findings were evaluated with using visual analogue scales for low back pain and leg symptoms. Results: Relief from low back pain and leg pain was observed for up to 12 months after anterior epidural irrigation. None of the patients showed any deterioration of their motor or sensory deficits during follow up. Conclusions: Anterior epidural irrigation is effective for the relief of back and leg pain in spinal stenosis patients.

Keywords

References

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