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경추간공 경막외 조영술의 양상에 관한 분석

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Author(s)
홍지희
Keimyung Author(s)
Hong, Ji Hee
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Journal Title
대한통증학회지
Issued Date
2006
Volume
19
Issue
2
Keyword
Contrast flow patternepidurographyTransforaminal epidural injection
Abstract
Background: A transforaminal epidural steroid injection has been used for the treatment of radicular arm or leg pain, which has the advantage of ventral epidural spreading compared to either an interlaminar or caudal approach. However, several factors are known to affect the epidural spread pattern of contrast dye; therefore, the injected medication can not be delivered to the target site. The objective of our study was to observe any differences in the contrast flow patterns according to several factors. Methods: A total of 34 epidurographies in 29 patients, who underwent fluoroscopically guided transforaminal epidural steroid injections, were evaluated. After confirming the location of the needle tip within the anterior superior aspect of the neural foramen in the lateral view, and at the 6 o'clock position to the pedicle in the anteroposterior view, 2 ml of contrast dye was injected. The contrast flow patterns of ventral, ventral and dorsal, and dorsal epidural filling were analyzed, according to age, gender, magnetic resonance imaging finding and history of previous back surgery.
Results: Ventral contrast flow occurred in 30 out of the 34 epidurographies (88%). Both ventral and dorsal contrast flow patterns were observed 13 out of 16 (81%) patients in the older age group. Also, both ventral and dorsal contrast flow patterns were observed in 16 out of 18 (88%) patients with spinal stenosis. Conclusions: Transforaminal epidural steroid injections, performed under fluoroscopy, provide excellent nerve root filling and ventral epidural spreading. Patients with spinal stenosis or an old age have both ventral and dorsal epidural spreading patterns.
Alternative Title
An Analysis of Pattern of Transforaminal Epidurography
Keimyung Author(s)(Kor)
홍지희
Publisher
School of Medicine
Citation
홍지희. (2006). 경추간공 경막외 조영술의 양상에 관한 분석. 대한통증학회지, 19(2), 175–180.
Type
Article
ISSN
1226-2579
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39744
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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