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Considerations for Fluoroscopic Guided Intervention in Lumbar Spine
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방사선 투시장치를 이용한 요추 중재술 시 고려점

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Type
Academic journal
Author
Dong-Hyun Kim (중앙대학교병원) Kwang-Sup Song (중앙대학교병원)
Journal
THE KOREAN ORTHOPAEDIC ASSOCIATION JOURNAL OF THE KOREAN ORTHOPAEDIC ASSOCIATION Vol.55 No.3 KCI Accredited Journals
Published
2020.6
Pages
210 - 221 (12page)

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Considerations for Fluoroscopic Guided Intervention in Lumbar Spine
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Spinal block procedures are useful methods that reduce the need for surgical treatment. In addition to their therapeutic aspects of pain relief, in many patients, they are also used for diagnostic purposes to distinguish from symptoms originating from extra-spinal areas. Therefore, these procedures are the most basic technique for orthopedic surgeons dealing with diseases from limbs and spine. On the other hand, despite the simplicity of the instruments and drugs used, the overall understanding of them and the lack of knowledge of the possible side effects and complications can cause serious harm to the patient at the beginning of the trial. Therefore, it is necessary to understand the types of drugs used in the spinal block procedures, pharmacokinetic properties, and the side effects of each drug. In addition, efforts should be made to identify their indications, as well as advantages and disadvantages of each procedure to avoid possible complications. The purpose of this review was to provide basic knowledge and skills necessary for lumbar spinal block procedures as well as provide the reader with the ability to perform themselves.
#fluoroscopy #lumbar spine #nerve block #degenerative disease #방사선 투시법 #요추 #신경 차단술 #퇴행성 질환

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Macnab I / 1971 / Negative disc exploration. An analysis of the causes of nerve-root involvement in sixty-eight patients / J Bone Joint Surg Am 53:891~903 google schola Riew KD / 2006 / Nerve root blocks in the treatment of lumbar radicular pain. A minimum five-year follow-up / J Bone Joint Surg Am 88:1722~1725 google schola The Korean Orthopedic Pain Society / 2018 / Musculoskeletal nerve block and injection therapy / Goonja Publishing google schola Santiago AE / 2014 / Ultrasound-guided facet block to low back pain : a case report / Braz J Anesthesiol 64:278~280 google schola Bicket MC / 2015 / Epidural steroid injections : an updated review on recent trends in safety and complications / Pain Manag 5:129~146 google schola

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UCI(KEPA) : I410-ECN-0101-2020-514-000661220