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Comparison of the Effect of Balloon Catheter vs Nucleoplasty vs Balloon Catheter and Nucleoplasty in Patients With Lumbar Spinal Stenosis

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dc.contributor.authorKim, NE-
dc.contributor.authorChoi, JB-
dc.contributor.authorKwon, HR-
dc.contributor.authorChung, HT-
dc.contributor.authorJang, ES-
dc.contributor.authorMoon, CY-
dc.contributor.authorKim, BG-
dc.date.accessioned2023-04-20T04:35:59Z-
dc.date.available2023-04-20T04:35:59Z-
dc.date.issued2022-
dc.identifier.issn1533-3159-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/25232-
dc.description.abstractBACKGROUND: Nucleoplasty and neuroplasty are often performed in patients with refractory lower back pain when conservative treatment is ineffective. Lumbar spinal stenosis (LSS) is caused by multiple factors; in some cases, a single procedure of nucleoplasty or neuroplasty alone does not provide sufficient treatment effect. OBJECTIVES: This study aimed to investigate and compare the pain relief and pain-free interval among patients with LSS who underwent nucleoplasty, neuroplasty, and combined balloon neuroplasty and nucleoplasty. STUDY DESIGN: Retrospective study. SETTING: In-ha University hospital pain clinic. METHODS: This is a retrospective study of the medical records and survey of 98 patients with LSS who visited a pain clinic between 2019 and 2020 and underwent nucleoplasty, neuroplasty, and combined balloon neuroplasty and nucleoplasty. Patients with disc height < 50% of the adjacent disc on magnetic resonance imaging and those with moderate and severe extraforaminal stenosis were excluded. Thus, 60 patients who underwent nucleoplasty (n = 20), neuroplasty (n = 20), and combined balloon neuroplasty and nucleoplasty (n = 20) for LSS were analyzed. The patients were instructed to rate their pain intensity via an 11-point numeric rating score (NRS) before and after the procedure. The Korean version of the Oswestry Disability Index (ODI) questionnaire was checked before and after the procedure. RESULTS: The pain intensity decreased to NRS 3 +/- 0.14 and 1.85 +/- 0.19 in the nucleoplasty and combined balloon neuroplasty and nucleoplasty groups, respectively, indicating a significant difference (P = 0.003). ODI was significantly decreased after the procedure compared with that before the procedure in all groups. After the procedure, ODI decreased to 13.89 +/- 0.20 and 11.21 +/- 0.33 in the nucleoplasty and combined balloon neuroplasty and nucleoplasty groups, respectively, with a significant difference between the 2 groups (P < 0.05). The patients in the nucleoplasty group achieved pain relief for 4.93 +/- 1.22 months after the procedure, whereas those in the balloon neuroplasty group achieved pain relief for 5 +/- 1.37 months. In the combined balloon neuroplasty and nucleoplasty group, pain relief was maintained for 10.2 +/- 1.11 months (P = 0.003). LIMITATIONS: The pain was assessed with NRS without considering the patients' pain medication. There may be differences in the outcome of the procedure depending on the surgeon. CONCLUSION: The pain reduction effect was greater and was retained for a longer period with combined balloon neuroplasty and nucleoplasty than with nucleoplasty or neuroplasty alone.-
dc.language.isoen-
dc.subject.MESHCatheters-
dc.subject.MESHHumans-
dc.subject.MESHLumbar Vertebrae-
dc.subject.MESHPain Management-
dc.subject.MESHPain Measurement-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHSpinal Stenosis-
dc.subject.MESHTreatment Outcome-
dc.titleComparison of the Effect of Balloon Catheter vs Nucleoplasty vs Balloon Catheter and Nucleoplasty in Patients With Lumbar Spinal Stenosis-
dc.typeArticle-
dc.identifier.pmid36288596-
dc.identifier.urlhttp://www.painphysicianjournal.com/linkout?issn=&vol=25&page=E1095-
dc.subject.keywordballoon catheter-
dc.subject.keywordNeuroplasty-
dc.subject.keywordnucleoplasty-
dc.subject.keywordNumeric Rating Score-
dc.subject.keywordOswestry Disability Index-
dc.subject.keywordpain relief-
dc.subject.keywordpain-free interval-
dc.subject.keywordspinal stenosis-
dc.contributor.affiliatedAuthorChoi, JB-
dc.type.localJournal Papers-
dc.citation.titlePain physician-
dc.citation.volume25-
dc.citation.number7-
dc.citation.date2022-
dc.citation.startPageE1095-
dc.citation.endPageE1103-
dc.identifier.bibliographicCitationPain physician, 25(7). : E1095-E1103, 2022-
dc.embargo.liftdate9999-12-31-
dc.embargo.terms9999-12-31-
dc.identifier.eissn2150-1149-
dc.relation.journalidJ015333159-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Anesthesiology & Pain Medicine
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