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Relationship of Success Rate for Balloon Adhesiolysis with Clinical Outcomes in Chronic Intractable Lumbar Radicular Pain: A Multicenter Prospective Study
Combined balloon decompression and epidural adhesiolysis has been reported to be effective in refractory lumbar spinal stenosis. Many cases of intractable stenosis have symptom-related multiple target sites for interventional treatment. In this situation it may not be possible to perform balloon adh...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6572522/ https://www.ncbi.nlm.nih.gov/pubmed/31058860 http://dx.doi.org/10.3390/jcm8050606 |
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author | Park, Jun-Young Ji, Gyu Yeul Lee, Sang Won Park, Jin Kyu Ha, Dongwon Park, Youngmok Cho, Seong-Sik Moon, Sang Ho Shin, Jin-Woo Kim, Dong Joon Shin, Dong Ah Choi, Seong-Soo |
author_facet | Park, Jun-Young Ji, Gyu Yeul Lee, Sang Won Park, Jin Kyu Ha, Dongwon Park, Youngmok Cho, Seong-Sik Moon, Sang Ho Shin, Jin-Woo Kim, Dong Joon Shin, Dong Ah Choi, Seong-Soo |
author_sort | Park, Jun-Young |
collection | PubMed |
description | Combined balloon decompression and epidural adhesiolysis has been reported to be effective in refractory lumbar spinal stenosis. Many cases of intractable stenosis have symptom-related multiple target sites for interventional treatment. In this situation it may not be possible to perform balloon adhesiolysis, or even only epidural adhesiolysis, for all target sites. Therefore, this multicenter prospective observational study aimed to evaluate the relationship of successful ballooning rate for multiple target sites with clinical outcome. Based on the ballooning success rate of multiple target sites, the patients were divided into three groups: below 50%, 50–85%, and above 85% ballooning. A greater ballooning success rate for multiple target sites provided a more decreased pain intensity and improved functional status in patients with chronic refractory lumbar spinal stenosis, and the improvement was maintained for 6 months. The estimated proportions of successful responders according to a multidimensional approach in the below 50%, 50–85%, and above 85% balloon success groups at 6 months after the procedure were 0.292, 0.468, and 0.507, respectively (p = 0.038). Our study suggests the more successful balloon adhesiolysis procedures for multiple target lesions are performed, the better clinical outcome can be expected at least 6 months after treatment. |
format | Online Article Text |
id | pubmed-6572522 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-65725222019-06-18 Relationship of Success Rate for Balloon Adhesiolysis with Clinical Outcomes in Chronic Intractable Lumbar Radicular Pain: A Multicenter Prospective Study Park, Jun-Young Ji, Gyu Yeul Lee, Sang Won Park, Jin Kyu Ha, Dongwon Park, Youngmok Cho, Seong-Sik Moon, Sang Ho Shin, Jin-Woo Kim, Dong Joon Shin, Dong Ah Choi, Seong-Soo J Clin Med Article Combined balloon decompression and epidural adhesiolysis has been reported to be effective in refractory lumbar spinal stenosis. Many cases of intractable stenosis have symptom-related multiple target sites for interventional treatment. In this situation it may not be possible to perform balloon adhesiolysis, or even only epidural adhesiolysis, for all target sites. Therefore, this multicenter prospective observational study aimed to evaluate the relationship of successful ballooning rate for multiple target sites with clinical outcome. Based on the ballooning success rate of multiple target sites, the patients were divided into three groups: below 50%, 50–85%, and above 85% ballooning. A greater ballooning success rate for multiple target sites provided a more decreased pain intensity and improved functional status in patients with chronic refractory lumbar spinal stenosis, and the improvement was maintained for 6 months. The estimated proportions of successful responders according to a multidimensional approach in the below 50%, 50–85%, and above 85% balloon success groups at 6 months after the procedure were 0.292, 0.468, and 0.507, respectively (p = 0.038). Our study suggests the more successful balloon adhesiolysis procedures for multiple target lesions are performed, the better clinical outcome can be expected at least 6 months after treatment. MDPI 2019-05-03 /pmc/articles/PMC6572522/ /pubmed/31058860 http://dx.doi.org/10.3390/jcm8050606 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Park, Jun-Young Ji, Gyu Yeul Lee, Sang Won Park, Jin Kyu Ha, Dongwon Park, Youngmok Cho, Seong-Sik Moon, Sang Ho Shin, Jin-Woo Kim, Dong Joon Shin, Dong Ah Choi, Seong-Soo Relationship of Success Rate for Balloon Adhesiolysis with Clinical Outcomes in Chronic Intractable Lumbar Radicular Pain: A Multicenter Prospective Study |
title | Relationship of Success Rate for Balloon Adhesiolysis with Clinical Outcomes in Chronic Intractable Lumbar Radicular Pain: A Multicenter Prospective Study |
title_full | Relationship of Success Rate for Balloon Adhesiolysis with Clinical Outcomes in Chronic Intractable Lumbar Radicular Pain: A Multicenter Prospective Study |
title_fullStr | Relationship of Success Rate for Balloon Adhesiolysis with Clinical Outcomes in Chronic Intractable Lumbar Radicular Pain: A Multicenter Prospective Study |
title_full_unstemmed | Relationship of Success Rate for Balloon Adhesiolysis with Clinical Outcomes in Chronic Intractable Lumbar Radicular Pain: A Multicenter Prospective Study |
title_short | Relationship of Success Rate for Balloon Adhesiolysis with Clinical Outcomes in Chronic Intractable Lumbar Radicular Pain: A Multicenter Prospective Study |
title_sort | relationship of success rate for balloon adhesiolysis with clinical outcomes in chronic intractable lumbar radicular pain: a multicenter prospective study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6572522/ https://www.ncbi.nlm.nih.gov/pubmed/31058860 http://dx.doi.org/10.3390/jcm8050606 |
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