Clinical significance of epidurography contrast patterns after adhesiolysis during lumbar percutaneous epidural neuroplasty

Sang Hyuk Park, Gyu Yeul Ji, Pyung Goo Cho, DongAh Shin, Young Sul Yoon, Keung Nyun Kim, Chang Hyun Oh

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background. The correlation between epidurography contrast patterns and the clinical outcomes of percutaneous epidural neuroplasty (PEN) remains unclear. Objective. To analyze the correlation between postadhesiolysis epidurography contrast patterns and the clinical outcomes of patients who undergo lumbar PEN. Design. This study is a retrospective analysis of 78 consecutive patients who underwent lumbar PEN between April 2012 and March 2013. Setting. The analysis was done in the university hospital center. Method. The clinical outcomes of all patients were assessed before and 1, 3, 6, and 12 months after undergoing lumbar PEN. Specifically, the intensity of back and leg pain, quality of life, and procedural outcomes were evaluated using a visual analog scale (VAS), the Oswestry Disability Index (ODI), and the 12-Item Short-Form Health Survey (SF-12). Results. The VAS scores for back and leg pain, ODI score, and SF-12 score exhibited a significant improvement during the follow-up period (P<0.01 versus preprocedural scores). At most follow-up time points, patients exhibiting extraforaminal contrast distribution n=22 on postadhesiolysis epidurograms exhibited a similar improvement in VAS scores and a significantly better improvement in ODI and SF-12 scores compared with patients exhibiting intracanal contrast distribution n=56. Conclusion. Extraforaminal contrast distribution during lumbar PEN may be associated with better functional outcomes.

Original languageEnglish
Article number6268045
JournalPain Research and Management
Volume2018
DOIs
Publication statusPublished - 2018 Jan 1

Fingerprint

Visual Analog Scale
Back Pain
Leg
Health Surveys
Quality of Life

All Science Journal Classification (ASJC) codes

  • Neurology
  • Anesthesiology and Pain Medicine

Cite this

Park, Sang Hyuk ; Ji, Gyu Yeul ; Cho, Pyung Goo ; Shin, DongAh ; Yoon, Young Sul ; Kim, Keung Nyun ; Oh, Chang Hyun. / Clinical significance of epidurography contrast patterns after adhesiolysis during lumbar percutaneous epidural neuroplasty. In: Pain Research and Management. 2018 ; Vol. 2018.
@article{0097943c66f94ca48707b92187ff5a9c,
title = "Clinical significance of epidurography contrast patterns after adhesiolysis during lumbar percutaneous epidural neuroplasty",
abstract = "Background. The correlation between epidurography contrast patterns and the clinical outcomes of percutaneous epidural neuroplasty (PEN) remains unclear. Objective. To analyze the correlation between postadhesiolysis epidurography contrast patterns and the clinical outcomes of patients who undergo lumbar PEN. Design. This study is a retrospective analysis of 78 consecutive patients who underwent lumbar PEN between April 2012 and March 2013. Setting. The analysis was done in the university hospital center. Method. The clinical outcomes of all patients were assessed before and 1, 3, 6, and 12 months after undergoing lumbar PEN. Specifically, the intensity of back and leg pain, quality of life, and procedural outcomes were evaluated using a visual analog scale (VAS), the Oswestry Disability Index (ODI), and the 12-Item Short-Form Health Survey (SF-12). Results. The VAS scores for back and leg pain, ODI score, and SF-12 score exhibited a significant improvement during the follow-up period (P<0.01 versus preprocedural scores). At most follow-up time points, patients exhibiting extraforaminal contrast distribution n=22 on postadhesiolysis epidurograms exhibited a similar improvement in VAS scores and a significantly better improvement in ODI and SF-12 scores compared with patients exhibiting intracanal contrast distribution n=56. Conclusion. Extraforaminal contrast distribution during lumbar PEN may be associated with better functional outcomes.",
author = "Park, {Sang Hyuk} and Ji, {Gyu Yeul} and Cho, {Pyung Goo} and DongAh Shin and Yoon, {Young Sul} and Kim, {Keung Nyun} and Oh, {Chang Hyun}",
year = "2018",
month = "1",
day = "1",
doi = "10.1155/2018/6268045",
language = "English",
volume = "2018",
journal = "Pain Research and Management",
issn = "1203-6765",
publisher = "Pulsus Group Inc.",

}

Clinical significance of epidurography contrast patterns after adhesiolysis during lumbar percutaneous epidural neuroplasty. / Park, Sang Hyuk; Ji, Gyu Yeul; Cho, Pyung Goo; Shin, DongAh; Yoon, Young Sul; Kim, Keung Nyun; Oh, Chang Hyun.

In: Pain Research and Management, Vol. 2018, 6268045, 01.01.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Clinical significance of epidurography contrast patterns after adhesiolysis during lumbar percutaneous epidural neuroplasty

AU - Park, Sang Hyuk

AU - Ji, Gyu Yeul

AU - Cho, Pyung Goo

AU - Shin, DongAh

AU - Yoon, Young Sul

AU - Kim, Keung Nyun

AU - Oh, Chang Hyun

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background. The correlation between epidurography contrast patterns and the clinical outcomes of percutaneous epidural neuroplasty (PEN) remains unclear. Objective. To analyze the correlation between postadhesiolysis epidurography contrast patterns and the clinical outcomes of patients who undergo lumbar PEN. Design. This study is a retrospective analysis of 78 consecutive patients who underwent lumbar PEN between April 2012 and March 2013. Setting. The analysis was done in the university hospital center. Method. The clinical outcomes of all patients were assessed before and 1, 3, 6, and 12 months after undergoing lumbar PEN. Specifically, the intensity of back and leg pain, quality of life, and procedural outcomes were evaluated using a visual analog scale (VAS), the Oswestry Disability Index (ODI), and the 12-Item Short-Form Health Survey (SF-12). Results. The VAS scores for back and leg pain, ODI score, and SF-12 score exhibited a significant improvement during the follow-up period (P<0.01 versus preprocedural scores). At most follow-up time points, patients exhibiting extraforaminal contrast distribution n=22 on postadhesiolysis epidurograms exhibited a similar improvement in VAS scores and a significantly better improvement in ODI and SF-12 scores compared with patients exhibiting intracanal contrast distribution n=56. Conclusion. Extraforaminal contrast distribution during lumbar PEN may be associated with better functional outcomes.

AB - Background. The correlation between epidurography contrast patterns and the clinical outcomes of percutaneous epidural neuroplasty (PEN) remains unclear. Objective. To analyze the correlation between postadhesiolysis epidurography contrast patterns and the clinical outcomes of patients who undergo lumbar PEN. Design. This study is a retrospective analysis of 78 consecutive patients who underwent lumbar PEN between April 2012 and March 2013. Setting. The analysis was done in the university hospital center. Method. The clinical outcomes of all patients were assessed before and 1, 3, 6, and 12 months after undergoing lumbar PEN. Specifically, the intensity of back and leg pain, quality of life, and procedural outcomes were evaluated using a visual analog scale (VAS), the Oswestry Disability Index (ODI), and the 12-Item Short-Form Health Survey (SF-12). Results. The VAS scores for back and leg pain, ODI score, and SF-12 score exhibited a significant improvement during the follow-up period (P<0.01 versus preprocedural scores). At most follow-up time points, patients exhibiting extraforaminal contrast distribution n=22 on postadhesiolysis epidurograms exhibited a similar improvement in VAS scores and a significantly better improvement in ODI and SF-12 scores compared with patients exhibiting intracanal contrast distribution n=56. Conclusion. Extraforaminal contrast distribution during lumbar PEN may be associated with better functional outcomes.

UR - http://www.scopus.com/inward/record.url?scp=85045771168&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85045771168&partnerID=8YFLogxK

U2 - 10.1155/2018/6268045

DO - 10.1155/2018/6268045

M3 - Article

VL - 2018

JO - Pain Research and Management

JF - Pain Research and Management

SN - 1203-6765

M1 - 6268045

ER -