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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
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.
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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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