The Korean Journal of Pain

  • 제24권2호
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  • Pages.81-86
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  • 2011
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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Value of Bone Scintigraphy and Single Photon Emission Computed Tomography (SPECT) in Lumbar Facet Disease and Prediction of Short-term Outcome of Ultrasound Guided Medial Branch Block with Bone SPECT

  • Koh, Won-Uk (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan, College of Medicine) ;
  • Kim, Sung-Hoon (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan, College of Medicine) ;
  • Hwang, Bo-Young (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan, College of Medicine) ;
  • Choi, Woo-Jong (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan, College of Medicine) ;
  • Song, Jun-Gul (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan, College of Medicine) ;
  • Suh, Jeong-Hun (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan, College of Medicine) ;
  • Leem, Jeong-Gill (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan, College of Medicine) ;
  • Shin, Jin-Woo (Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan, College of Medicine)
  • 투고 : 2011.01.25
  • 심사 : 2011.04.29
  • 발행 : 2011.06.01
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초록

Background: Facet joint disease plays a major role in axial low-back pain. Few diagnostic tests and imaging methods for identifying this condition exist. Single photon emission computed tomography (SPECT) is reported that it has a high sensitivity and specificity in diagnosing facet disease. We prospectively evaluated the use of bone scintigraphy with SPECT for the identification of patients with low back pain who would benefit from medial branch block. Methods: SPECT was performed on 33 patients clinically suspected of facet joint disease. After SPECT, an ultrasound guided medial branch block was performed on all patients. On 28 SPECT-positive patients, medial branch block was performed based on the SPECT findings. On 5 negative patients, medial branch block was performed based on clinical findings. For one month, we evaluated the patients using the visual analogue scale (VAS) and Oswestry disability index. SigmaStat and paired t-tests were used to analyze patient data and compare results. Results: Of the 33 patients, the ones who showed more than 50% reduction in VAS score were assigned 'responders'. SPECT positive patients showed a better response to medial branch blocks than negative patients, but no changes in the Oswestry disability index were seen. Conclusions: SPECT is a sensitive tool for the identification of facet joint disease and predicting the response to medial branch block.

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참고문헌

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  8. The Value of SPECT/CT in Localizing Pain Site and Prediction of Treatment Response in Patients with Chronic Low Back Pain vol.29, pp.12, 2014, https://doi.org/10.3346/jkms.2014.29.12.1711
  9. Radiofrequency Ablation for Facet-Mediated Low Back Pain: Current Knowledge and Limitations of the Evidence vol.6, pp.1, 2018, https://doi.org/10.1007/s40141-018-0170-4
  10. Use of Medial Branch Blocks Before Radiofrequency Ablation for Lumbar Facet Joints vol.4, pp.7, 2011, https://doi.org/10.1016/j.pmrj.2012.06.011
  11. Use of Medial Branch Blocks Before Radiofrequency Ablation for Lumbar Facet Joints vol.4, pp.7, 2011, https://doi.org/10.1016/j.pmrj.2012.06.011
  12. Effectiveness of Lumbar Facet Joint Blocks and Predictive Value before Radiofrequency Denervation: The Facet Treatment Study (FACTS), a Randomized, Controlled Clinical Trial vol.129, pp.3, 2011, https://doi.org/10.1097/aln.0000000000002274
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