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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 66 - 72 (7page)
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초록· 키워드
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Background: Low back pain secondary to discopathy is a common pain disorder. Multiple minimally invasive therapeutic modalities have been proposed; however, to date no study has compared percutaneous laser disc decompression (PLDD) with intradiscal injection of radiopaque gelified ethanol (DiscoGel®). We are introducing the first study on patient-reported outcomes of DiscoGel® vs. PLDD for radiculopathy. Methods: Seventy-two patients were randomly selected from either a previous strategy of PLDD or DiscoGel®, which had been performed in our center during 2016- 2017. Participants were asked about their numeric rating scale (NRS) scores, Oswestry disability index (ODI) scores, and progression to secondary treatment. Results: The mean NRS scores in the total cohort before intervention was 8.0, and was reduced to 4.3 in the DiscoGel® group and 4.2 in the PLDD group after 12 months, which was statistically significant. The mean ODI score before intervention was 81.25% which was reduced to 41.14% in the DiscoGel® group and 52.86% in the PLDD group after 12 months, which was statistically significant. Between-group comparison of NRS scores after two follow-ups were not statistically different (P = 0.62) but the ODI score in DiscoGel® was statistically lower (P = 0.001). Six cases (16.67%) from each group reported undergoing surgery after the follow-up period which was not statistically different. Conclusions: Both techniques were equivalent in pain reduction but DiscoGel® had a greater effect on decreasing disability after 12 months, although the rate of progression to secondary treatments and/or surgery was almost equal in the two groups.
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참고문헌 (32)
참고문헌 신청
Govind J / 2004 / Lumbar radicular pain / Aust Fam Physician 33:409~412
Rhee JM / 2006 / Radiculopathy and the herniated lumbar disc. Controversies regarding pathophysiology and management / J Bone Joint Surg Am 88:2070~2080
Wheeler AH / 2002 / Chronic lumbar spine and radicular pain : pathophysiology and treatment / Curr Pain Headache Rep 6:97~105
Buenaventura RM / 2009 / Systematic review of therapeutic lumbar transforaminal epidural steroid injections / Pain Physician 12:233~251
Hahne AJ / 2010 / Conservative management of lumbar disc herniation with associated radiculopathy : a systematic review / Spine (Phila Pa 1976) 35:E488~504
Rhee JM / 2006 / Radiculopathy and the herniated lumbar disc. Controversies regarding pathophysiology and management / J Bone Joint Surg Am 88:2070~2080
Wheeler AH / 2002 / Chronic lumbar spine and radicular pain : pathophysiology and treatment / Curr Pain Headache Rep 6:97~105
Buenaventura RM / 2009 / Systematic review of therapeutic lumbar transforaminal epidural steroid injections / Pain Physician 12:233~251
Hahne AJ / 2010 / Conservative management of lumbar disc herniation with associated radiculopathy : a systematic review / Spine (Phila Pa 1976) 35:E488~504
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