Himchan Hospital 'Percutaneous Percutaneous Epidural Neuroplasty' Published in SCIE-class Journal
Jul 10, 2024
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A cyst is a pocket-shaped lump filled with liquid or semi-solid material, and when the cyst in the lumbar spine grows and presses the nerve, it causes back pain as well as radiating pain to the hips and legs. Since once it occurs, it does not recover naturally and conservative treatment has little effect, it has been mainly treated with complete resection through surgery.
However, this study confirmed that the success rate was higher than that of other non-surgical treatments when cysts in the lumbar junction were treated with percutaneous epidural neuroplasty, a non-surgical treatment. A paper titled 'Percutaneous Epidural Neuroplasty for Symptomatic Lumbar Juxtafacet Cysts' containing the findings of the study was published in June in the world-renowned SCIE-level international journal Medicine.
The study, which was jointly conducted by Himchan Hospital Director Huh Joon-young (first author), orthopedic surgeon Lee Soo-chan (direct author), and Director Baek Ji-hoon, was conducted on 34 patients (male-15 patients, female-19 patients, average age 66 years) suffering from low back pain or radiating pain as a cyst. Patients who received conservative treatment for at least 6 weeks, but were ineffective or insufficient, had an average duration of pain before the procedure of 11 months and were followed up for an average of 37.5 months from 2 to 66 months after the procedure.
As a result of the study, it was confirmed that the pain was significantly reduced after percutaneous epidural neuroplasty. The Visual analog scale (VAS), which represents the degree of pain, was very high at an average of 7.58 before the procedure. The pain evaluation scale selects the intensity of pain felt by the patient from 0 to 10, which means that the intensity of pain increases as it goes to 10. However, the pain remained reduced to an average of 2.38 at 1 month after the procedure, 2.37 at 6 months, and 2.7 at 12 months. In addition, there was no significant difference in the outcome of the procedure according to the size of the cyst.
The first author, Himchan Hospital Director Heo Joon-young (neurosurgeon), said "In the case of percutaneous epidural neuroplasty, the adhesion of the lesion area is removed using a catheter and accurately injected to treat it, so the pain reduction effect is great and can be maintained for a long time. However, it is important to establish and proceed with a treatment plan through consultation with a specialist because the treatment effect is low and there is a possibility of recurrence if the cyst is located in the lumbar vertebrae No. 4 and No. 5 (L4-L5) disks in case of severe spinal stenosis."
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