| Effects of L4-5 Transforaminal Epidural Steroid Injection in L5 Radiculopathy. |
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Ahn, Kyung Hoi , Kim, Hee Sang , Lee, Jong Ha , Kim, Dong Hwan , Cho, Dong Ik , Shin, Ji Cheol , Jeong, Yong Seol |
1Department of Rehabilitation Medicine, Kyunghee University College of Medicine, Korea. yongseol.jeong@gmail.com
2Department of Rehabilitation Medicine, Yonsei University College of Medicine, Korea. |
| 제 5 요수 신경근병증에서 제 4-5 요추간공을 통한 경막외 주사의 효과 |
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안경회, 김희상, 이종하, 김동환, 조동익, 신지철1, 정용설1 |
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경희대학교 의과대학 재활의학교실, 1연세대학교 의과대학 재활의학교실 |
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| Abstract |
Objective
The aim of this study was to compare the therapeutic and functional values between the L5-S1 transforaminal epidural steroid injection (TFESI) and L4-5 TFESI in patients with L5 radiculopathy.
Method
Among 30 patients with unilateral herniated nucleus pulposus (HNP) and L5 radiculopathy, 15 patients received L5-S1 TFESI and 15 patients received L4-5 TFESI. All patients were checked visual analogue scale (VAS) and functional score before injection, after 1 day, 2 weeks and 4 weeks.
Results
The VAS of before injection, after 1 day, 2 weeks and 4 weeks were 6.6, 4.0, 3.0, and 2.8 in L5-S1 TFESI, 6.2, 3.9, 2.7, and 2.6 in L4-5 TFESI, respectively. The functional score of before injection, after 1 day, 2 weeks and 4 weeks were 1.8, 2.3, 2.6, and 3.0 in L5-S1 TFESI, 1.6, 2.2, 2.5, and 2.8 in L4-5 TFESI, respectively. There was no statistical difference between the groups (p＞0.05).
Conclusion
This study suggested that either L5-S1 TFESI or L4-5 TFESI could be a valuable treatment of L5 radicular pain. (J Korean Acad Rehab Med 2005; 29: 281-285) |
| Key Words:
Epidural steroid injection, Transforaminal approach |
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