지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 735 - 744 (10page)
이용수
초록· 키워드
오류제보하기
Objective To determine clinical and radiological factors that predict the successful outcome of percutaneous disc decompression (PDD) in patients with lumbar herniated nucleus pulposus (HNP).Methods We retrospectively reviewed the clinical and radiological features of patients who underwent lumbar PDD from April 2009 to March 2013. Sixty-nine patients with lumbar HNP were studied. Clinical outcome was assessed by the visual analogue scale (VAS) and the Oswestry Disability Index (ODI). Multivariate logistic regression analysis was performed to assess relationship among clinical and radiological factors and the successful outcome of the PDD.Results The VAS and the ODI decreased significantly at 1 year follow-up (p<0.01). One year after PDD, the reduction of the VAS (ΔVAS) was significantly greater in the patients with pain for <6 months (p=0.03) and subarticular HNP (p=0.015). The reduction of the ODI (ΔODI) was significantly greater in the patients with high intensity zone (p=0.04). Multivariate logistic regression analysis revealed the following 5 factors that were associated with the successful outcome after PDD: pain duration for <6 months (odds ratio [OR]=14.036; p=0.006), positive straight leg raising test (OR=8.425, p=0.014), the extruded HNP (OR=0.106, p=0.04), the sequestrated HNP (OR=0.037, p=0.026), and the subarticular HNP (OR=10.876, p=0.012).Conclusion PDD provided significant improvement of pain and disability of patients. The results of the analysis indicated that the duration of pain <6 months, positive straight leg raising test, the subarticular HNP, and the protruded HNP were predicting factors associated with the successful response of PDD in patients with lumbar HNP.
목차
등록된 정보가 없습니다.
참고문헌 (23)
참고문헌 신청
Kang CH / 2009 / Can magnetic resonance imaging accurately predict concordant pain provocation during provocative disc injection? / Skeletal Radiol 38:877~885
Aprill C / 1992 / High-intensity zone: a diagnostic sign of painful lumbar disc on magnetic resonance imaging / Br J Radiol 65 : 361 ~ 369
Bokov A / 2010 / Differential treatment of nerve root compression pain caused by lumbar disc herniation applying nucleoplasty / Pain Physician 13 : 469 ~ 480
Brouwer PA / 2015 / Percutaneous laser disc decompression versus conventional microdiscectomy in sciatica: a randomized controlled trial / Spine J 15 : 857 ~ 865
Charnley J. / 1951 / Orthopaedic signs in the diagnosis of disc protrusion: with special reference to the straight-legraising test / Lancet 1 : 186 ~ 192
Aprill C / 1992 / High-intensity zone: a diagnostic sign of painful lumbar disc on magnetic resonance imaging / Br J Radiol 65 : 361 ~ 369
Bokov A / 2010 / Differential treatment of nerve root compression pain caused by lumbar disc herniation applying nucleoplasty / Pain Physician 13 : 469 ~ 480
Brouwer PA / 2015 / Percutaneous laser disc decompression versus conventional microdiscectomy in sciatica: a randomized controlled trial / Spine J 15 : 857 ~ 865
Charnley J. / 1951 / Orthopaedic signs in the diagnosis of disc protrusion: with special reference to the straight-legraising test / Lancet 1 : 186 ~ 192
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
슬링현수 자가 운동이 경추각도에 미치는 영향: 사례연구
대한정형도수물리치료학회지
2019 .01
-
Transforaminal Percutaneous Endoscopic Discectomy for Lumbar Disc Herniation in Parkinson’s Disease: A Case-Control Study
Asian Spine Journal
2016 .01
-
In vivo Imaging Biodistribution Profile of a New Macrocyclic Gadolinium Chelate as a Highly Stable Multifunctional MRI Contrast Agent
Investigative Magnetic Resonance Imaging
2019 .01
-
Long-Term Efficacy of Memantine in Parkinson’s Disease Dementia: An 18-Month Prospective Perfusion Single Photon Emission Computed Tomography Preliminary Study
Dementia and Neurocognitive Disorders(대한치매학회지)
2016 .01
-
Long-term Clinical and Radiological Outcomes after Central Decompressive Laminoplasty for Lumbar Spinal Stenosis
Neurospine
2017 .01
-
Minimally Invasive Lumbar Spinal Decompression in Elderly Patients with Magnetic Resonance Imaging Morphological Analysis
Asian Spine Journal
2018 .01
-
The outcome of epiduroscopy treatment in patients with chronic low back pain and radicular pain, operated or non-operated for lumbar disc herniation: a retrospective study in 88 patients
The Korean Journal of Pain
2018 .01
-
Correlation of Early Outcomes and Intradiscal Interleukin-6 Expression in Lumbar Fusion Patients
Neurospine
2020 .01
-
요추 추간판 탈출증 환자에 대하여 기타 한방치료를 병행한 가열식 화침과 일반침의 효능 비교 연구: 무작위배정, 평가자 맹검, 평행군 설계
대한침구의학회지
2015 .01
-
Clinical Efficacy of Selective Focal Ablation by Navigable Percutaneous Disc Decompression Device in Patients With Cervical Herniated Nucleus Pulposus
Annals of Rehabilitation Medicine
2017 .01
-
Surgery versus Nerve Blocks for Lumbar Disc Herniation : Quantitative Analysis of Radiological Factors as a Predictor for Successful Outcomes
대한신경외과학회지
2016 .01
-
Two Portal Percutaneous Endoscopic Decompression for Lumbar Spinal Stenosis: Preliminary Study
Asian Spine Journal
2016 .01
-
고유수용성신경근촉진법 운동이 만성허리통증환자의 통증과 기능장애지수에 미치는 영향
PNF and movement
2017 .01
-
Frequency of Vertebral Endplate Modic Changes in Patients with Unstable Lumbar Spine and Its Effect on Surgical Outcome
Asian Spine Journal
2015 .01
-
Elderly Patients Achieving Clinical and Radiological Outcomes Comparable with Those of Younger Patients Following Minimally Invasive Transforaminal Lumbar Interbody Fusion
Asian Spine Journal
2017 .01
-
기능적 뇌척주요법을 병행한 한방치료가 턱관절 장애가 있는 교통사고 환자에 미치는 영향
대한침구의학회지
2016 .01
-
Effects of Manual Therapy on Pain and Function of Patients with Chronic Low Back Pain
대한물리치료학회지(JKPT)
2017 .01
-
Analysis of the Functional and Radiological Outcomes of Lumbar Decompression without Fusion in Patients with Degenerative Lumbar Scoliosis
Asian Spine Journal
2020 .01
-
Recurrent Lumbar Disc Herniation: Results of Revision Surgery and Assessment of Factors that May Affect the Outcome. A Non-Concurrent Prospective Study
Asian Spine Journal
2015 .01
-
파킨슨병 치매와 루이소체 치매 환자에서 인지기능과 보호자 부담의 차이점
노인정신의학
2020 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0