The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Analysis of Factors Associated with the Therapeutic Duration of Transforaminal Epidural Steroid Injection in Lumbar Spinal Stenosis Patients

요척주관 협착증 환자에서 경추간공 경막외 스테로이드 주입 후 통증 완화 기간과 관련된 요인의 분석

  • Hong, Ji Hee (Department of Anesthesiology and Pain Medicine, Keimyung University School of Medicine) ;
  • Lee, Yong Chul (Department of Anesthesiology and Pain Medicine, Keimyung University School of Medicine) ;
  • Kim, Jin Mo (Department of Anesthesiology and Pain Medicine, Keimyung University School of Medicine) ;
  • Han, Sung Ho (Department of Anesthesiology and Pain Medicine, Keimyung University School of Medicine) ;
  • Park, Eun Jee (Department of Anesthesiology, Donguk University School of Medicine)
  • 홍지희 (계명대학교 의과대학 마취통증의학교실) ;
  • 이용철 (계명대학교 의과대학 마취통증의학교실) ;
  • 김진모 (계명대학교 의과대학 마취통증의학교실) ;
  • 한성호 (계명대학교 의과대학 마취통증의학교실) ;
  • 박은지 (동국대학교 의과대학 마취과학교실)
  • Received : 2008.07.01
  • Accepted : 2008.07.28
  • Published : 2008.08.30
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Abstract

Background: A transforaminal epidural steroid injection (TFESI) is one of the methods for the conservative treatment of the lumbar spinal stenosis. As efforts to prolong the therapeutic duration and to predict the outcome of TFESI are very important, we analyzed factors considered to be associated with the therapeutic duration of a TFESI. Methods: Between August 2006 and March 2007, 69 patients (Group A: patients with no pain relief, Group B: patients with pain relief of less than 6 months, Group C: patients with pain relief of more than 6 months) who failed to the medical treatment were included to undertake a fluoroscopic-guided TFESI. Prior to treatment, the VAS (visual analogue scale), ODI (Oswestry disability index), BDI (Beck depression inventory), and BAI (Beck anxiety inventory) scores were determined to evaluate the degree of pain, disability, and psychological status. The VAS and ODI scores were used to assess the degree of pain relief. To identify the total duration of pain relief, regular outpatient visits for six months were conducted, and for the patients who were not able to visit the outpatient clinic regularly, outcome was assessed by telephone interviews after six months. Results: The dural sac cross-sectional area (DSCSA), ODI, pain duration, BDI, BAI, and age showed similar distribution for patients in the A, B, and C groups. Conclusions: The DSCSA, ODI, pain duration, BDI, BAI, and age were not associated with the therapeutic duration of TFESI in lumbar spinal stenosis patients.

Keywords

References

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