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Fluoroscopically guided transforaminal epidural dry needling for lumbar spinal stenosis using a specially designed needle

BACKGROUND: This report describes the methodological approach and clinical application of a minimally invasive intervention to treat lumbar spinal stenosis (LSS). METHODS: Thirty-four patients with LSS underwent fluoroscopically guided transforaminal epidural dry needling using a specially designed...

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Autores principales: Ahn, Kang, Jhun, Hyung-Joon, Lim, Tae-Kyun, Lee, Yong-Seung
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2927508/
https://www.ncbi.nlm.nih.gov/pubmed/20698999
http://dx.doi.org/10.1186/1471-2474-11-180
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author Ahn, Kang
Jhun, Hyung-Joon
Lim, Tae-Kyun
Lee, Yong-Seung
author_facet Ahn, Kang
Jhun, Hyung-Joon
Lim, Tae-Kyun
Lee, Yong-Seung
author_sort Ahn, Kang
collection PubMed
description BACKGROUND: This report describes the methodological approach and clinical application of a minimally invasive intervention to treat lumbar spinal stenosis (LSS). METHODS: Thirty-four patients with LSS underwent fluoroscopically guided transforaminal epidural dry needling using a specially designed flexed Round Needle. The needle was inserted 8-12 cm lateral to the midline at the level of the stenosis and advanced to a position between the anterior side of the facet joint and pedicle up to the outer-third of the pedicle. The needle was advanced medially and backed laterally within a few millimetres along the canal side of the inferior articular process between the facet joint and pedicle. The procedure was completed when a marked reduction in resistance was felt at the tip of the needle. The procedure was performed bilaterally at the level of the stenosis. RESULTS: The average follow-up period was 12.9 ± 1.1 months. The visual analogue scale (VAS) pain score was reduced from 7.3 ± 2.0 to 4.6 ± 2.5 points, the Oswestry Disability Index (ODI) score decreased from 41.4 ± 17.2 to 25.5 ± 12.6% and the average self-rated improvement was 52.6 ± 33.1%. The VAS scores indicated that 14 (41.2%) patients reported a "good" to "excellent" treatment response, while 11 (32.4%) had a "good" to "excellent" treatment response on the ODI and 22 (64.7%) had a "good" to "excellent" treatment response on the self-rated improvement scale. CONCLUSIONS: These results suggest that fluoroscopically guided transforaminal epidural dry needling is effective for managing LSS.
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spelling pubmed-29275082010-08-25 Fluoroscopically guided transforaminal epidural dry needling for lumbar spinal stenosis using a specially designed needle Ahn, Kang Jhun, Hyung-Joon Lim, Tae-Kyun Lee, Yong-Seung BMC Musculoskelet Disord Technical Advance BACKGROUND: This report describes the methodological approach and clinical application of a minimally invasive intervention to treat lumbar spinal stenosis (LSS). METHODS: Thirty-four patients with LSS underwent fluoroscopically guided transforaminal epidural dry needling using a specially designed flexed Round Needle. The needle was inserted 8-12 cm lateral to the midline at the level of the stenosis and advanced to a position between the anterior side of the facet joint and pedicle up to the outer-third of the pedicle. The needle was advanced medially and backed laterally within a few millimetres along the canal side of the inferior articular process between the facet joint and pedicle. The procedure was completed when a marked reduction in resistance was felt at the tip of the needle. The procedure was performed bilaterally at the level of the stenosis. RESULTS: The average follow-up period was 12.9 ± 1.1 months. The visual analogue scale (VAS) pain score was reduced from 7.3 ± 2.0 to 4.6 ± 2.5 points, the Oswestry Disability Index (ODI) score decreased from 41.4 ± 17.2 to 25.5 ± 12.6% and the average self-rated improvement was 52.6 ± 33.1%. The VAS scores indicated that 14 (41.2%) patients reported a "good" to "excellent" treatment response, while 11 (32.4%) had a "good" to "excellent" treatment response on the ODI and 22 (64.7%) had a "good" to "excellent" treatment response on the self-rated improvement scale. CONCLUSIONS: These results suggest that fluoroscopically guided transforaminal epidural dry needling is effective for managing LSS. BioMed Central 2010-08-11 /pmc/articles/PMC2927508/ /pubmed/20698999 http://dx.doi.org/10.1186/1471-2474-11-180 Text en Copyright ©2010 Ahn et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Technical Advance
Ahn, Kang
Jhun, Hyung-Joon
Lim, Tae-Kyun
Lee, Yong-Seung
Fluoroscopically guided transforaminal epidural dry needling for lumbar spinal stenosis using a specially designed needle
title Fluoroscopically guided transforaminal epidural dry needling for lumbar spinal stenosis using a specially designed needle
title_full Fluoroscopically guided transforaminal epidural dry needling for lumbar spinal stenosis using a specially designed needle
title_fullStr Fluoroscopically guided transforaminal epidural dry needling for lumbar spinal stenosis using a specially designed needle
title_full_unstemmed Fluoroscopically guided transforaminal epidural dry needling for lumbar spinal stenosis using a specially designed needle
title_short Fluoroscopically guided transforaminal epidural dry needling for lumbar spinal stenosis using a specially designed needle
title_sort fluoroscopically guided transforaminal epidural dry needling for lumbar spinal stenosis using a specially designed needle
topic Technical Advance
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2927508/
https://www.ncbi.nlm.nih.gov/pubmed/20698999
http://dx.doi.org/10.1186/1471-2474-11-180
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