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KMID : 0361420050290050489
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Journal of Korean Academy of Rehabilitation Medicine
2005 Volume.29 No. 5 p.489 ~ p.494
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The Effect of Intra-articular Hyaluronic Acid in Facet Syndrome of the Lumbar Spine
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Kim Hee-Sang
Ahn Kyung-Hoi
Lee Jong-Ha
Kim Dong-Hwan
Kim Min-Jung
Kim Hak-Jun
Jeong Yong-Seol
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Abstract
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Objective: To evaluate the efficacy of intra-articular hyaluronic acid injection and to compare this with the efficacy of steroid injection for the treatment of facet syndrome of the lumbar spine.
Methods: Sixty-eight patients with facet syndrome of the lumbar spine were assigned two groups at random to receive an intra-articular injection into the facet joint. One group received a intra-articular injection of the facet joint three times at 1 week apart with a mixture of hyaluronic acid 0.6~0.7 ml and 1% lidocaine 0.2 ml. The other group received a intra-articular injection of the facet joint one time with a mixture of triamcinolone 10 mg and 1% lidocaine 0.5~1 ml. The effectiveness of treatment was assessed with the visual analogue scale (VAS), and the patient’s life activities were assessed with the modified Oswestry questionnaire.
Results: The VAS and the patient’s life activity of the two groups all showed improvement at 1 week, 1 month and 3 months after injection, but there was no significant difference in the VAS scores and the patient’s life activity scores between the two groups.
Conclusion: The intra-articular injection of hyaluronic acid would be a good treatment method for facet syndrome of the lumbar spine.
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KEYWORD
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Facet Syndrome, Hyaluronic Acid, Intra-articular injection, Steroid
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