Contrast Dispersion on Epidurography May Be Associated with Clinical Outcomes After Percutaneous Epidural Neuroplasty Using an Inflatable Balloon Catheter
| Autor: | Doo-Hwan Kim, Seong-Soo Choi, Dong Ah Shin, Jin Woo Shin, Taejun Na, Gyu Yeul Ji, Hyun Jung Kwon |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Epidural Space
Male medicine.medical_specialty Percutaneous Decompression media_common.quotation_subject Contrast Media Tissue Adhesions Balloon Neurosurgical Procedures Spinal Stenosis Activities of Daily Living medicine Humans Contrast (vision) Prospective Studies Aged Pain Measurement media_common Lumbar Vertebrae business.industry Balloon catheter Lumbar spinal stenosis General Medicine Middle Aged Decompression Surgical medicine.disease Dilatation Magnetic Resonance Imaging Surgery Oswestry Disability Index Treatment Outcome Anesthesiology and Pain Medicine Inflatable Fluoroscopy Female Neurology (clinical) business |
| Zdroj: | Pain Medicine. 21:677-685 |
| ISSN: | 1526-4637 1526-2375 |
| DOI: | 10.1093/pm/pnz225 |
| Popis: | BackgroundContrast dispersion pattern on epidurography may be associated with clinical improvement after epidural neuroplasty. However, insufficient evidence supports this theory. The current study aims to evaluate the relevance of contrast dispersion and clinical improvement after percutaneous epidural neuroplasty using an inflatable balloon catheter.MethodsOne hundred patients with lumbar spinal stenosis who underwent combined balloon decompression and epidural adhesiolysis between March 2015 to December 2015 participated in the present study. Participants were divided into two groups by contrast dispersion pattern on postprocedural epidurography: the complete contrast dispersion (CCD) and incomplete contrast dispersion (ICCD) groups. The numeric rating scale (NRS), Oswestry Disability Index (ODI), and global perceived effects (GPE) were each assessed before and one, three, six, nine, and 12 months after the intervention.ResultsAfter combined balloon decompression and adhesiolysis, significant pain reduction and functional improvement were maintained up to 12 months in patients with lumbar spinal stenosis. NRS and GPE in the CCD group were significantly lower than in the ICCD group from six to 12 months after the intervention. The ODI in the CCD group was also significantly lower compared with that in the ICCD group from one to 12 months after the intervention.ConclusionsCombined balloon decompression and adhesiolysis with the inflatable balloon catheter can provide noteworthy pain reduction and improvement of physical function for a long-term period in patients with lumbar spinal stenosis. Because CCD showed better clinical improvement compared with ICCD, a contrast dispersion pattern may be associated with an improved clinical outcome. |
| Databáze: | OpenAIRE |
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