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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 87 - 92 (6page)
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초록· 키워드
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Background: An epidural steroid injection (ESI) is a commonly administered procedure in pain clinics. An unintentional lumbar facet joint injection during interlaminar ESI was reported in a previous study, but there has not been much research on the characteristics of an unintentional lumbar facet joint injection. This study illustrated the imaging features of an unintentional lumbar facet joint injection during an interlaminar ESI and analyzed characteristics of patients who underwent this injection.Methods: From December 2015 to May 2017, we performed 662 lumbar ESIs and we identified 24 cases (21 patients) that underwent a lumbar facet joint injection. We gathered data contrast pattern, needle approach levels and directions, injected facet joint levels and directions, presence of lumbar spine disease as seen on magnetic resonance images (MRI), and histories of lumbar spine surgeries.Results: The contrast pattern in the facet joint has a sigmoid or ovoid contrast pattern confined to the vicinity of the facet joint. The incidence of unintentional lumbar facet joint injection was 3.6%. The mean age was 68.47 years. Among these 21 patients, 14 (66.7%) were injected in the facet joint ipsilaterally to the needle approach. Among the 20 patients who received MRI, all (100%) had central stenosis and 15 patients (75%) had severe stenosis. Conclusions: When the operator performs an interlaminar ESI on patients with central spinal stenosis, the contrast pattern on the fluoroscopy during interlaminar ESI should be carefully examined to distinguish between the epidural space and facet joint. (Korean J Pain 2018; 31: 87-92)
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참고문헌 (11)
참고문헌 신청
홍지희 / 2017 / Comparison of clinical efficacy in epidural steroid injections through transforaminal or parasagittal approaches / The Korean Journal of Pain 30(3):220~228
Huang AJ / 2011 / Inadvertent intra-articular lumbar facet joint injection during fluoroscopically guided interlaminar epidural steroid injection / Skeletal Radiol 40:33~45
Huang AJ / 2012 / Incidence of inadvertent intraarticular lumbar facet joint injection during fluoroscopically guided interlaminar epidural steroid injection / Skeletal Radiol 41:157~162
Lehman VT / 2015 / The posterior ligamentous complex inflammatory syndrome: spread of fluid and inflammation in the retrodural space of Okada / Clin Radiol 70:528~535
Okada K / 1981 / Studies on the cervical facet joints using arthrography of the cervical facet joint (author's transl) / Nihon Seikeigeka Gakkai Zasshi 55:563~580
Huang AJ / 2011 / Inadvertent intra-articular lumbar facet joint injection during fluoroscopically guided interlaminar epidural steroid injection / Skeletal Radiol 40:33~45
Huang AJ / 2012 / Incidence of inadvertent intraarticular lumbar facet joint injection during fluoroscopically guided interlaminar epidural steroid injection / Skeletal Radiol 41:157~162
Lehman VT / 2015 / The posterior ligamentous complex inflammatory syndrome: spread of fluid and inflammation in the retrodural space of Okada / Clin Radiol 70:528~535
Okada K / 1981 / Studies on the cervical facet joints using arthrography of the cervical facet joint (author's transl) / Nihon Seikeigeka Gakkai Zasshi 55:563~580
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