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Journal of the Korean Academy of Rehabilitation Medicine 2005;29(3):281-285.
Effects of L4-5 Transforaminal Epidural Steroid Injection in L5 Radiculopathy.
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
안경회, 김희상, 이종하, 김동환, 조동익, 신지철1, 정용설1
경희대학교 의과대학 재활의학교실, 1연세대학교 의과대학 재활의학교실
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.
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.
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).
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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