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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(2):240-244.
Effects of Intradiscal Steroid Injection in Patients with Lumbar Discogenic Pain.
Ko, Hyun Yoon , Park, Jae Heung
Department of Rehabilitation Medicine, Pusan National University College of Medicine, Korea. jheung@pusan.ac.kr
요추간판성 통증 환자의 추간판 내 스테로이드 주사 효과
고현윤, 박재흥
부산대학교 의과대학 재활의학교실
Abstract
Objective
To determine the therapeutic effects of intradiscal steroid injection in patients with lumbar discogenic pain.


Method
Seventeen patients with lumbar discogenic pain who have not received other interventional procedures were studied. After confirmation of needle placement into the discs by C-arm fluoroscopy, discogram was done. And 40 mg of triamcinolone and 0.5 cc of 2% lidocaine were injected into the nucleus. Correlation between degeneration and Visual Analogue Scale (VAS) was analyzed. The effects of steroid injection were evaluated using VAS and limitation of lumbar flexion at pre-injection, 1 week post-injection, 1 month post-injection, and 3 months post-injection. Changes over time were assessed statistically using ANOVA and chisquare.


Results
Correlation between degeneration and VAS was high (r=0.7). The averages of VAS reduced significantly from 6.1⁑1.6 at pre-injection, to 2.4⁑1.8 at 1 week post- injection, to 1.8⁑1.2 at 3 months post-injection, respectively (p<0.05). The number of group of highly or moderately limited lumbar flexion was decreased from 10 at pre- injection to 4 at 1 day post-injection. Fourteen of 17 patients (82.4%) had a successful outcome reporting at least 50% reduction between pre and 3 months post-injection in VAS.


Conclusion
Intradiscal steroid injection was an effective treatment for patients with lumbar discogenic pain. (J Korean Acad Rehab Med 2003; 27: 240-244)

Key Words: Discogenic, Discograrm, Intradiscal injection, Steroid


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